WOMENS-HEALTH Messages for January, 2000: Re: strange period--can it be due to current problem?

Re: strange period--can it be due to current problem?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 30 Jan 2000 19:12:36 -0600 (CST)

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Reply: Ellen: "Re: strange period--can it be due to current problem?"

At Sun, 30 Jan 2000, Ellen wrote: >
>I am 43, on Demulen 1/35 BCP (second time around) for several years now.
>My last 4 to 5 periods have been strange. Frankly, I didn't think your
>period could come early when you were on the pill. I take my pills
>religiously, within an hour of the same time every night. I have (when
>not on the pill) an extremely regular period; I can almost tell you to
>the hour when it will start, or I always could. My history is: at 26, I
>had a questionable PAP, then another and was subsequently diagnosed with
>CIN 2 - 3, although I was not told this could be serious. My doctor did
>a conization biopsy and a diagnostic D&C and I was told that he "got
>everything". He has since retired and I see his partner, whom I trust
>very much. My current doctor, unlike his predecessor, answers all my
>questions and has even gone back through my chart to re-read the notes
>on previous problems to answer questions I didn't know I needed answers
>to. He has said that all this was HPV-related, which I understand is
>very common. When I went for a PAP last May as part of my annual exam,
>it came back with irregularities. My doctor recommended a repeat in 3
>months. When that came back in a similar fashion, he recommended a
>colposcopy and did that, along with biopsies and an endocervical
>curettage. Those results indicated to him that cryosurgery was the next
>step. That was done in early November. I go for a repeat PAP on
>February 10th. Now, my question is: can all this have affected my
>periods, even though I'm on the pill?

The answer is no. (Excellent history though).

>I always end my packs on Saturday
>night and get my period around 2-3PM on Wednesday. ALWAYS...
>However, for the last several months, I have been getting spotting, or
>break-through bleeding, or even a full-blown period several days before
>I am due. This month has me crazy, because I had all the symptoms of
>getting my period (tender breasts, mild diarrhea, irritable, etc.) a
>full week before my period was due, and while I was still taking my pill
>every night. Then, last Wednesday night (still taking the pill until
>Saturday), I started spotting. On Thursday and Friday, it looked like I
>was bleeding a little and even passing some tissue, I think. I prefer
>being on the pill because I have long, very heavy periods and I pass a
>lot of large clots. I have seen tissue like this in the past, but it
>does not seem to be normal for me. I continued to take my pills, taking
>the last one on Saturday (last night). Could this all be due to the
>stress of the last few months and the cryosurgery?

Stress, yes. Cryo, no.

>If anyone can give me
>any ideas to talk to my doctor about, I'd appreciate it. I do plan to
>ask him on the 10th, but I'd like to know I'm ok to wait until then,
>yano?
>Thanks and sorry this is so long, but I read regularly and know the
>history is always important.
>Ellen

People respond to the pill differently at different points in their lives and cycles can change, sometimes temporarily, sometimes not. If it doesn't straighten out, a change in pills may be necessary.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**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 no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: long/heavy bleeding"
Previous message: Hilary: "frequent brown discharge"
In reply to: Ellen: "strange period--can it be due to current problem?"
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