PCOS Messages for January, 2003: Re: ABNORMAL BREAKTHROUGH BLEEDING

Re: ABNORMAL BREAKTHROUGH BLEEDING

From: Linds (anonymous@obgyn.net)
Sat, 25 Jan 2003 18:25:42 -0600 (CST)

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I'm 25 years old, 5'5" and 270#. I am at my highest weight ever. I had success controlling my PCO symptoms w/ a 10gm./day carb diet + exercize, but found the diet too difficult to keep on. 3 months ago, I began walking on a treadmill for 1 hour each night while keeping my carbs ~50gm/day, and began bleeding a few days afterward. I thought it was just my period regulating, due to my insulin becoming sensitized from the increase in physical activity. But the bleeding did not stop for 3 weeks unless I stopped exercizing. I explained this to my gyno, and she dismissed it as a freak coincidence. She told me to come back in 1 week for progesterone if the bleeding continued (the same thing I was prescribed 2 years ago by another gyno to induce bleeding). Then a few days later, I ended up in the ER for a large ruptured ovarian cyst. The gyno put me on progesterone, which did nothing but cause me to bloat 2 pant sizes, and to be severly depressed. The day after the progesterone ended (a 10 day dose), my pants fit fine, and I was happy again. The bleeding was the same.

Subsequently, an endocrinologist prescribed me 500mg Metformin, and Desogen, a low-progesterone, "non-androgenic" b/c pill. She said it was absolutely necessary to put me on the pill to put the brakes on the bleeding, explaining that "1 menstrual cycle depends on the previous one", and my incessant bleeding is just an out-of-control hormonal spiral. The pill did stop the bleeding, but triggered depression again into the 2nd cycle; my coworkers insisted I wasn't myself anymore, so I went off the pill, and felt emotionally ok again. I had a normal period, and began bleeding a week later--I haven't excercized in weeks, but I am still on Metformin. I suspect my copious estrogen stores in all this fat are partly to blame, but I don't know how to approach a treatment. For the meanwhile, I would rather suffer the bleeding than be depressed on b/c pills.

Are you at a healthy weight, Nuria? If so, that blows my estrogen theory out of the water. In the meantime, please make sure to supplement your diet w/ iron or iron supplements.

At Sat, 22 Jun 2002, nuria wrote: >
>Hi everybody. I'm nearly 32 years of age and, around this time last
>year, about 10 months after the birth of my first child, I started
>experiencing breakthrough bleeding. First it was some mucusy discharge
>tinged with blood, always around the time of ovulation, which would last
>for a few days. This kept repeating itself month after month and it
>always increased in amount and duration, and it tended to come after
>physical exercise. I had a pap smear, blood tests and physical
>examinations at my gyn, and everything came off OK. Finally, I had a D
>& C in November, about 5 months since my bleeding had started. Post-op
>bleeding was slightly heavier and lasted longer than expected but, once
>it ended, I was fine. My periods resumed normally and I had no further
>bleeding - until this month when, after a jog, the whole pattern started
>again.
>
>I have been bleeding for about 4 days now, and it keeps getting heavier,
>although I am not soaking any pads - just somewhere in between spotting
>and downright bleeding. Initially blood was pinkish, it then changed to
>red, went to a dark brown colour and it is now red again (flow has
>increased today).
>
>All this is driving me nuts. I'm a single mother and I shudder to think
>I may have cancer or something like that. Also, the fact that I have
>been fine for only 7 months after surgery is not at all encouraging. I
>would love to hear from somebody who has had, or is having, similar
>symptoms. Thank you.
>
>--
>NURIA
>

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