WOMENS-HEALTH Messages for August, 2001: Re: Anovulation postpartum

Re: Anovulation postpartum

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 30 Aug 2001 21:40:40 -0500 (CDT)

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In reply to: Amy: "Anovulation postpartum"

At Thu, 30 Aug 2001, Amy wrote: >
>I had a baby almost a year ago. I am still nursing, but only once a
>day. My periods returned when my son was 8 months old. Well, I had one
>period then nothing for 8 weeks. I started bleeding and bled for 5
>weeks straight, hemmoraging for 1 week at the end. I saw my gyn and we
>decided that it is unwise to let me go so long between periods because
>when I do I end up bleeding too much (my hct went from 41-29 during the
>week of bleeding heavily). So if I miss a period I check a pregnancy
>test then take provera for 10 days. As I understand it the heavy
>prolonged bleeding is most likey because of no ovulation and unopposed
>estrogen. Is that correct? My questions: Why aren't I ovulating? Before
>I became pregnant I would occasionally miss a period or have one come 2
>weeks late, but for the most part I was regular. I did have a TV
>ultrasound and they noted polycystic ovaries, but as far as they can
>tell I don't have PCOS. I am taking prednisone and know that can mess
>up your cycles--could that be the cause? Short of clomid, is there
>anything I can do to become regular again. (i.e. 1 cycle of OCP, etc.)
>I am desperate bc it took us 3 years to conceive my son bc of what we
>thought was a male factor. Now my husband's problem is fixed and I'm
>broken!
>
>Thank you for any advice.
>
>--
>Amy
>

Breastfeeding, even once a day, can do it. Pednisone has been used to treat PCOS.

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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