WOMENS-HEALTH Messages for August, 2000: Re: abnormal bleeding and cramping/don't know what to do anymore

Re: abnormal bleeding and cramping/don't know what to do anymore

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 3 Aug 2000 09:03:56 -0500 (CDT)

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In reply to: susan: "abnormal bleeding and cramping/don't know what to do anymore"

At Wed, 2 Aug 2000, susan wrote: >
>For the past couple of years I've experienced periodic mid-cycle
>spotting. It starts right after ovulation (I think) and continues until
>period. Sometimes I don't have the bleeding, just cramping and
>sometimes vice versa.
>
>It happens for a few months in a row and then stops for a few months.
>
>My periods are normal (I think) with no heavy bleeding or painful cramps
>(but some clotting).
>
>I have had 2 pap smears, endometrial biopsy, intra-uterine sonagram (not
>saline), and cultures done. No cancer, cervical polyps, or STD's. Still
>checking on uterine fibroids.
>
>During the sonagram I experienced a lot of tenderness on/near my uterus
>which DR. couldn't explain.
>
>I am worried because I'm 35 and want to get pregnant. Sometimes I
>wonder if these problems are related to infertility since I've certainly
>taken many chances and have used only spermicide for contraceptive for
>past six years without any pregnancy.
>
>I don't know where to go from here and due to ticking clock, I feel like
>I am running out of time to figure this out.
>
>Can anyone give advice what to do next, what it could be???
>Any info would be greatly appreciated.

Susan, Bleeding that is irregular is often due to the cycle being mixed up hormonally. When the hormonal message is mixed up, it usually has it's root in the ovulatory event. It may indeed be related to either irregular or no ovulation. My recommendation would be to use hormones to regulate your cycle, i.e. birth control pills until you decide definitively that you desire a pregnancy, then other modalities can be done to assist in ovulation, enabling you to achieve pregnancy... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Marlou: "Vasa Previa"
Previous message: Lynn D. Montgomery, MD: "Re: Dr. Lynn Re: Where do I go from here?"
In reply to: susan: "abnormal bleeding and cramping/don't know what to do anymore"

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