PCOS-MEDICATION Messages for May, 2001: Re: confused about ovulation v. periods--Dr. Sam please read

Re: confused about ovulation v. periods--Dr. Sam please read

From: Zowie (anonymous@obgyn.net)
Tue, 01 May 2001 01:58:27 -0500

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Hi Dr. Sam, I found what you said very interesting. Especially the: "Now the next problem is, there is no way to distinguish a uterine bleeding from a menses. And you can bleed anytime from your endometrium if it isn't properly supported by ovarian steroid hormones." With all of the bleeding I have gone through (especially BEFORE starting the BCP--I had _continuous_ bleeding for darn near a whole YEAR), I'm wondering if there is a more serious or unknown problem. So was the constant bleeding I had an actual menstruation, or was this uterine bleeding? I assume if the latter this means that my endometrium wasn't "supported" by the ovarian steroid hormones?? What exactly does that mean, and should I look out for something? I've stopped bleeding now, after being given that Lupron Depot shot at the end of March (although I did have about 5 days of bleeding, with some sudden stopping/starting in between). Any idea of what I can expect now? I'm on 2mg Avandia twice a day, a daily prenatal multivitamin (for vitamins) and Ferro Sequels--1 pill twice a day. I am IR, borderline hypoglycemic and anemic. I await further blood results tomorrow morning. Anything else I should have checked?? I'd like your advice. Thank you. --Zowie :)

At Thu, 26 Apr 2001, =?iso-8859-2?q?Zalányi wrote: >
>Hi Tracy,
>
>Human body is a very complicated mechanism(?) and it doesn't work with
the regularity of mechanical or electric devices. It is common wisdom that MENSTRUATION (menses) follows ovulation by 14 d. I have investigated several dozens of healthy women's cycles (and am familiar with hundreds of others published) by ultrasound and hormone measurments and about one of every 10 cycles is anovulatory with timely menses. Now the next problem is, there is no way to distinguish a uterine bleeding from a menses. And you can bleed anytime from your endometrium if it isn't properly supported by ovarian steroid hormones. There is an old wisdom among people familiar with RE: the only proof of ovulation is pregnancy! >Hope this helps you understand this very difficult problem
>
>Sam

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