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Re: absence of periods

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sat, 12 Jun 1999 18:30:57 -0500 (CDT)


At Fri, 11 Jun 1999, Wendi wrote: >
>I am a married 32 year old who has been trying to conceive for over 2
>years. When I turned 30 my periods stopped. I have two or three a
>year. I ache to have children and am so frustrated with my situation.
>Ultrasound yesterday revealed buildup of uterine lining. I have been
>bleeding/spotting since May 31. Dr. informed me all else looked good
>but she was concerned with the lining. Prescribed Prometrium to
>hopefully shed some of the thickness. I have read up on possible side
>effects and guess i am looking for some reassurance that my situation
>isn't hopeless. Also curious why Doc never seemed concerned of missing
>periods when yesterday she told me it could lead to uteran cancer. Also,
>she wants to give me Clomid and said multiple rate is minimal with this
>drug. Is this the case?
>
>--
>All replies welcome, Wendi

Lack of periods, and the lack of ovulation that implies, is a risk factor for developing endometrial cancer (cancer of the uterine lining). There are many resons for not ovulating and not menstruating and a basic workup usually includes measuring thyroid and prolactin levels via a blood test. If there is an underlying condition, correction of it usually leads to resumption of normal cycles. If not, Clomid can be used to stimulate ovulation in hopes of conceiving. If one does not want to be pregnant, either using progesterone periodically opr using birth control pills can decrease risks of endometrial cancer. The incidence of twins after using Clomid is about 5%. Best of luck to you -- it took 3 years and infertiltiy treatments, but I know have a 6 month old daughter -- it is all worth it so don't give up! >

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination. Sorry, but private e-mails will not be answered -- especially now that I have a new baby to take care of!!




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