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Re: strange period--can it be due to current problem?
From: Ellen (anonymous@obgyn.net)
Mon, 31 Jan 2000 11:15:48 -0600 (CST)
Thank you, Dr. Marchbein, for the quick answer. I have been under an
enormous amount of stress lately and wondered if it could affect my body
in this way. I will discuss this with my doctor on the 10th and see if
he thinks a change of pills is in order. With a 2 or 3 year lay-off, I
have been on this brand for just over 20 years, so it may be time for a
change. Again, thanks for all the time you spend helping us out.
Ellen
At Sun, 30 Jan 2000, Harvey S. Marchbein, M.D. wrote:
>
>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 ;-)
>
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