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Re: MENORRHAGIA: missed period/ not pregnant/med change?

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From: Cindy (anonymous@obgyn.net)
Sat, 24 Oct 2009 12:03:18 -0500 (CDT)

Is my GYN going to give me the Provera 1st and see if that get my periods reg. 1st? Or is it more prudent for him to do an endo biopsy 1st? missed one per. this month. But spotting the prior 2 months, followed be a regular/on time period. Painful? 1-10 how painful? Do you giveshot "down" there/numb? hurt? And how long does this Pain last durung proc.? Should this be done under general anesthesia if painful?

>>>>
>>>>I am almost 42 yo. For the first time in my life, I have missed my
>>>>period. This has never happened unless I was pregnant. First day of
>>>>LMP was 09/14/09.My periods come like clockwork, and have never had any
>>>>menstrual problems. Back in July I did a medication switch. Effexor XR
>>>>to Wellbutrin 200 mg. August and September I spotted prior to my
>>>>period, which did come on time and was normal. Saw GYN who did exam and
>>>>pap, all normal. This month, I skipped altogether. My periods run
>>>>23-25 days faithfully. It is now 10/21. Still nothing. Went to Dr's
>>>>last Thursday, he did another exam(normal), preg blood test(neg) and
>>>>trans-vag U/S. The results of the U/S was normal. Although he did say
>>>>I had a follicular cyst? He said that is what every woman gets every
>>>>month. It opens and drops the egg. My endo lining was thickened like I
>>>>was going to get my period. He could not tell if I ovulated or not.
>>>>
>>>>My questions are these: Do you think the med switch could have caused
>>>>this? I am currently being weaned off of Wellbutrin as I am not sure if
>>>>that is it.
>>>>
>>>>I also took 2nd preg test. Again, negative. I have had cramps for
>>>>three days, yet no period. I have never had cramps for 3 days.
>>>>Actually, I hardly have cramping since I am on Librax for IBS, so it
>>>>cuts my cramps way down. So cramps, but no period? How can that be?
>>>>
>>>>He wants me to wait another 2-3 weeks. If nothing, he said he will then
>>>>do an endo biopsy to rule out Uterine Cancer???(why?) And send me for
>>>>bloodwork to test thyroid and hormones. He does NOT believe I am
>>>>perimenopausal, and he is not thoroughly convinced it was my med switch
>>>>either. He thinks it was just a fluke thing. He also said he would
>>>>give me something to jump start my period.I am assuming Provera, as I
>>>>cannot take BC pills due to my age, I am a smoker, and borderline
>>>>hypertensive.
>>>>
>>>>I know is is "normal" for many women not to get their periods one month.
>>>>But it is not "normal" for me. And because I have cramps, I do not get
>>>>why I do not have it??
>>>>
>>>>Thank you
>>>>
>>>>--
>>>>Cindy
>>>>
>>>--
>>> 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.
>>> ** Private emails cannot be entertained due to time
>>> constraints; consequently, they will receive no response.
>
>--
> 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.
> ** Private emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>William F. von Almen, II, MD, FACOG
>Private Practice
>New Orleans, La.
>

--
Cindy



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