WOMENS-HEALTH Messages for September, 2000: Re: Cycle is all messed up, what causes this?

Re: Cycle is all messed up, what causes this?

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 2 Sep 2000 14:32:50 -0500 (CDT)

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At Sat, 2 Sep 2000, Debbie wrote: >
>Hello,
>
>For the last 6 months, every other month I get a totally late cycle. I
>don't even start my pms until I am already late with my period and my
>pms last one week three days to the day which makes me about 2 weeks
>late. The other months are right on time to the day. I have always
>been regular. Stress has been very high this year. I had an ablation
>done 7 months ago and thankfully because I did the late cycle's are not
>super heavy or anything, but they of course are heavier when two weeks
>late. I wondered, could the ablation have messed up my hormones...but,
>I was told my ovaries were not ablated, so no. Does this sound like a
>hormonal imbalance perhaps? How would one fix this? Would BCP's be the
>only answer, or would provera or prometrium fix this? And wouldn't it be
>a good idea to have a hormone test to check? My doctor said no, not
>necessary, but I beg to differ with him, I don't see what harm it would
>cause to run a blood test to see where I am at hormonally speaking.
>
>TIA;)
>
>Deb

Deb

There is really not a'HORMONAL IMBALANCE TEST' to take. We can check your FSH to see if you are menopausal, check your thyroid for imbalance, check your progesterone to see if you are ovulating well, and check your FSH/LH ratio for PCO, but there is no 'IMBALANCE' test. That said, you are having either anovulatory cycles or you are just having long cycles, ie, it is always 14 days from ovulation to menstruation with normal ovarian function, but the time from menstruation to ovulation can be variable, even with normal ovulation. You may be doing this, as it sounds like your PMS is coming about 10 days before you menstruate, even though your ovulation is occuring 2 weeks later with each cycle. Using a basal body temperature chart could help you see if this is the case. Now, what can you do? Probably use the pill is your best option, and of course, reduce your stress. Sorry this is so long winded. Hope this helps.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

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