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Re: Irregular periods - Doctors, what next?

From: Alicia Lapidus M.D. (anonymous@obgyn.net)
Thu, 31 Jul 2003 15:33:41 -0500 (CDT)


May be you are having some anovulatory cycles, even if your hormones are normal, you are not having the cycling. I dont think there is nothing to do until you see your gynecologist. What about the dermoid? Did you have a laparoscopy to take it out?

At Thu, 31 Jul 2003, anonymous wrote: >
>I'm 39 years old, menstruating since age 12; not on the BCP. For the
>vast majority of my life, my periods were like clockwork - cycles of 28
>or 29 days, of predictable duration and flow. However, for the past
>seven months, my periods have become quite irregular in all respects.
>January - 30 days and extremely heavy flow that necessitated a trip to
>the emergency room. February - 28 days and in all respects normal for
>me. March - 44 days and lighter than normal flow. April - 31 days and
>normal. My next period did not arrive until mid-June (46 day-cycle),
>and it was very heavy, particularly during the seventh and final day.
>Now my latest period has arrived, after 50 days, and it is again rather
>heavy.
>
>In January, a pelvic ultrasound and CT scan revealed a huge left ovarian
>dermoid with a normal right ovary. There was also a 3 cm. fibroid
>located on the outside surface of the uterus. Later in January, I had
>an endometrial biopsy that was normal.
>
>In February, I underwent open laparotomy to remove the left ovary and
>the dermoid. My surgeon noted that the fibroid had not increased in
>size, and the right ovary appeared normal. Recovery was uneventful.
>
>In March and again in June, I had my thyroid and hormones tested.
>Everything was normal.
>
>It is clear that something is off here, and I'm scheduled to see my
>OB-GYN again in late August. In the meantime, can you give me some
>insight into what I should be considering as possible issues? The
>fibroid? PCOS or other ovarian cause? Time for another ultrasound?

--
Alicia Lapidus MD
Head Obstetrics Division,
Hospital J. A. Fernández
Buenos Aires
Argentina
Note:  opinions expressed here are for educational purposes
       only and, as such, do not constitute a physician-patient
       relationship.  This information is not intended to supplant
       the need for you to consult with your physician prior to
       choosing therapeutic options and/or interventions.

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