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Re: When should I start period??
From: Belinda (anonymous@obgyn.net)
Wed May 4 21:41:11 2005
I've had 4 pregnancy's...2 full term, 2 miscarriages. My first and last
pregnancy's ended in a miscarriage.
My dr suspects adenomyosis, but as you said, it can only be confirmed by
hysterectomy. My dr is not wanting to do a hysterectomy due to my age.
He said that if a hysterectomy is my last result, he will go ahead and
do a complete hysterectomy since the majority of the time, the ovaries
end up having to be removed at a later time for some reason or another.
Plus, leaving the ovaries would not stop the pain that begins during
mid-cycle. He also does not want to put my body through hormonal hell
while we try to find the "right" hormone pill. He's going to do a
hysteroscopy(?) when he does the D&C and ablation. He did mention the
possibility of having fibroids especially since my bleeding has suddenly
increased (within the past 6 months). Up until then, my periods were
very normal...every 28-30 days and duration was about 5 days. Now they
are nowhere near normal. My pelvic exam and ultrasound were completely
normal so that kind of leaves us in the dark until the lap and
hysterscopy are done. As far as the follicular cysts, the dr never
mentioned they were found, I read the ultrasound report before he came
in the room. I figured since he didn't mention anything about them, it
must be normal. Plus the lab tech asked me what part of my cycle was I
in. I guess she wanted to make sure they were follicular since it was
around the time I should've been ovulating.
As wierd as this sounds, I just hope that something is found so that we
can start some sort of treatment to stop the pain/discomfort. I
appreciate your input and advice. You've been a great help! Hope you
have a good night :-)
At Wed, 4 May 2005, anonymous wrote:
>
>Do you know what is causing the heavy, irregular periods? Do you have
>fibroids? If that is the cause then in most cases they can be dealt with
>in a no hysterectomy fashion.
>
>Have you carried a pregnancy to term? Had an abortion? Had any other
>trauma to your uterus? (You don't have to answer me on these questions,
>they are rhetorical) Those are underlying causes of adenomyosis which
>can also produce heavy irregular periods. The only way to diagnose and
>cure adenomyosis 100% is via hysterectomy.
>
>Have any and all other physical causes been ruled out or is the
>laparoscopy being used as a diagnostic tool? There could be some sort of
>physical anomaly in the structure of your abdominal parts that is the
>root of all this.
>
>Follicular cysts is what you form prior to ovulation. You can develop
>cysts on your ovary (ovaries) and if these cysts burst it can cause
>excruciating, crippling pain but not sure about bleeding.
>
>You should know that hysterectomies are not routinely done on women your
>age as it messes with the statistics and is usually not warranted unless
>there is a life-threatening condition involved (uterine rupture, cancer,
>etc.) and most women who really do need a hysterectomy can't get the
>doctors or the insurance companies to agree.
>
>Hope it all turns out well for you and that I've given you a bit more
>information to consider and research with your doctor.
>
>At Wed, 4 May 2005, Belinda wrote:
>>
>>I'm having the D&C due to heavy, irregular periods. I'll have a period
>>for 2 days one month and the next few months I'll have very heavy
>>bleeding. There is nothing predictable about them. I've also started
>>passing very large clots. I know the clots are not abnormal or a cause
>>of concern, but we're hoping that between the D&C and endometrial
>>ablation that my bleeding will become very light or possibly stop
>>altogether. I've tried b.c. pills and the patch but they all seem to
>>make my pain worse. I've been on Lupron and Depo Provera and that's a
>>road that I will never go down again. Right now I'm grasping at straws
>>and trying to hold off on having a hysterectomy (I'm 30). However, if
>>the bleeding does not get under control, a hysterectomy may be my only
>>option. My pain always starts around the time of ovulation and will
>>continue to about my 3rd day of my period. And I'm never in
>>excruciating pain, I just ache and have twinges of pain in my lower
>>abdomen. It's just miserable feeling like crap 1/2 of the month. On my
>>last ultrasound it showed that I had several follicular cysts. I read
>>somewhere that these cysts are normal and no cause for concern but it
>>did state that when these cysts burst, the blood can cause irritation.
>>I'm wondering if that's whats going on. I guess the lap will answer
>>that question. I take Excedrin Migraine pills for my migraines. They
>>contain the active ingrediants that are found in tylenol and motrin, so
>>this helps with my pain. They kill two birds with one stone :-)..Sorry
>>this is long. I appreciate your advice. Take care...B
>>
>>At Wed, 4 May 2005, anonymous wrote:
>>>
>>>Boy oh boy, I don't think you can even begin to do the math on this one
>>>Belinda. I was in the same boat a few years ago and just wore
>>>pantiliners and carried supplies with me every day until I got my
>>>period. Your hormones took a bit of an extra loop on the monthly roller
>>>coaster so there's really no way to predict with any accuracy when the
>>>next one might arrive.
>>>
>>>The pain you're feeling could be ovulation, could be pre-period
>>>cramping, could be both, could be inflammation. Until you have your lap
>>>everything is a guess. My own personal opinion on this is that you use
>>>whatever pain relief measures are available to you to get you through
>>>the next 2 weeks. Ibuprofen alternated with tylenol is sometimes better
>>>than the prescription stuff. Take a full dose of ibuprofen then 2-4
>>>hours later take a dose of tylenol then 2-4 hours later the ibuprofen
>>>again... repeat round the clock and don't stop. Make sure you eat with
>>>the ibuprofen, even if it's a couple of cheese & crackers or a slice of
>>>toast, something is better than nothing to keep your tummy happy. If
>>>that does not work for you then your doc should be able to prescribe
>>>something to get you through.
>>>
>>>Why are you having the D & C? I suspect that is the cause of your pain.
>>>
>>>if you're having your period it probably will not interrupt the surgery
>>>but you can always call the doc and ask the nurse about it. She will be
>>>able to answer your question about that, perhaps she can answer your
>>>question about period timing too.
>>>
>>>good luck and hope it calms down for you.
>>>
>>>At Wed, 4 May 2005, Belinda wrote:
>>>>
>>>>Hi. I'm confused as to when my next period should begin. I had a
>>>>period on April 4th. I started taking my b.c. patches on that day.
>>>>Well...after my period ended I began hurting even worse so the dr
>>>>suggested that I go ahead and take the patch off. I started another
>>>>period a few days later. This was on April 14th. I have felt fine
>>>>until yesterday and that is when I began to hurt again. I do not know
>>>>if the pain because I am about to start my period or if it is the pain
>>>>that I normally get after ovulation. Today the pain is worse. I'm
>>>>having a lap done on the 18th to see if my endo has returned. My
>>>>question is, should my period be approx. 28 days from the 1st period on
>>>>April 4th or the period that began on April 14th?? Also, I am scheduled
>>>>to have a D&C and endometrial ablation done at the same time as lap.
>>>>Will they still do the procedure even if I am having a period? I am
>>>>supposed to be taking 10 mg. Provera until the surgery to thin the
>>>>lining of the uterus. I am starting those today. I am just trying to
>>>>get an idea of why I am hurting so bad. Any info would be greatly
>>>>appreciated. Thank You!!!
>>>>
>>>>--
>>>>Belinda
>>>>
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