WOMENS-HEALTH Messages for May, 2002: Re: 49 and tired

Re: 49 and tired

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 26 May 2002 20:16:03 -0500 (CDT)

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In reply to: Sarah: "49 and tired"

At Sun, 26 May 2002, Sarah wrote: >
>Since they started at age 12, my periods have NEVER been regular at all.
>(They've been 4 to 9 weeks apart since age 12). Other than the
>irregularity, I've never had problems -- no PMS, no mid-cycle or heavy
>bleeding, no other problems. I got pregnant four times without too much
>trouble.
>
>Now I'm 49 and for the first time am having AWFUL pre-menstrual symptoms
>-- extreme fatigue and severe mood swings, mainly.
>
>My doc did blood tests & said I am still premenopausal, started me on 10
>mg Prozac. It seems to really help with the mood problem, but I am
>still VERY TIRED for 10 days to two weeks before my periods, and during
>my periods -- in other words, for two or three weeks at a time.
>
>Other than the fatigue and mood problems, my periods are the same as
>they've always been -- which is to say irregular but a normal length
>(five days) and flow (medium).
>
>I've been exercising, sleeping fine, sex drive is good . . . but I
>hate feeling so tired so much of the time. For two weeks or so after my
>period, I feel totally fine, very good, so I know it's related to my
>periods.
>
>The Prozac seems to help with the mood problems; is there anything I can
>do for the fatigue?

A general physical may be helpful along with a full blood workup. In addition, depending upon the results of the workup, the Prozac may need to be increased.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
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and/or interventions.

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Next message: Harvey S. Marchbein, M.D.: "Re: endo and lighter periods?"
Previous message: Harvey S. Marchbein, M.D.: "Re: Help! Skipped placebos on doc's advice and have had period for two weeks?!"
In reply to: Sarah: "49 and tired"

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