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Re: Menstral pain and Severe Cramping

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 28 Aug 1997 16:27:04 -0500 (CDT)


Hi K. I congratulate you on being a teenager and getting to the web and finding us in order to ask a question.

>I am a 17 year old teenager. I started my period when I was 10 years
>old and I have always had severe cramping. However, in the past 2 years
>I have experienced cramping like never before. I will be sitting in my
>desk at school and all of a sudden I will become so hot that I will
>actually start sweating. This sweating then leads to severe cramping to
>the point of which I am actually shaking. This will make me physically
>sick and week. I have also experienced all of these symptoms along with
>shortness of breath. I have heard a lot about endometriosis and I was
>wondering if you as a medical professional, thought that I may indeed
>have this?

It is possible but more likely is just painful periods, which are more likely when you ovulate during that cycle. Most women do not start ovulating for a few years after they start ther periods, so this is entirely possible. But so is the endometriosis.

>In the past year my periods have also gotten a lot heavier
>than they used to be. This pain really gets me down during that time of
>the month and I really need some advice. Will you please let me know
>what you think?

Whether from endometriosis or just painful periods associated with ovulatory cycles, I'd normally recommend the oral contraceptive pill. It will successfully treat the pain by preventing it in most patients. The only reason to not be on the pill is if there is a contraindication in your medical history. You need to see a gynecologist for a thorough exam and discussion of your options.

Good luck.

--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response. **Thank you for your understanding ;-)




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