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Re: Cycle messed up-Another question

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 31 Dec 2000 09:15:56 -0600 (CST)


At Sun, 31 Dec 2000, Nancy wrote: >
>Today is day 30 and I still have not gotten my period. I had a negative
>HPT on the 28th day. I still feel crampy, bloated and my breasts are
>swollen and tender. Any advice?
>
>Thank you for your time.
>
>Nancy
>
>At Thu, 28 Dec 2000, Lynn D. Montgomery, MD wrote:
>>
>>At Thu, 28 Dec 2000, Nancy wrote:
>>>
>>>I am 43 years old and for as long as I can remember, my menstrual cycle
>>>has been 24 or 25 days. I had a thermal alblation in Feb, 2000 and a
>>>myomectomy and tubal ligation in early Oct. My first 2 cycles following
>>>surgery were right on time, the last period starting on Dec 1.
>>>
>>>Well today is the 27th day and I did not get my period. I have felt a
>>>little crampy for the past 2 days and had a headache
>>>(hormone related) on days 24 and 25.
>>>
>>>My question is: could the surgery have effected my cycle - even if I am
>>>almost 3 months post-op? If not, should I be concerned? The only time my
>>>cycle was longer than 25 days was when I was pregnant. (and my youngest
>>>is almost 12)
>>>
>>>Thank you so much for your time.
>>>
>>>--
>>>Nancy
>>>
>>Nancy,
>>I doubt that the surgery would affect your cycle at this point. However,
>>it may be that you did not ovulate this month. As you get over the age
>>of 40, it can be more common to not ovulate on occasion-I can say that
>>cause I am over 40. This can cause a delay or lack of a period.
>>Following a tubal ligation, the failure rate is 1/350 procedures. These
>>failures also have a higher risk of occuring in the fallopian tube. So,
>>if you are concerned you may be pregnant, I would suggest getting a
>>pregnancy test to assure yourself. If it is positive, then seek medical
>>attention immediately...
>>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 ;-)
>>

Nancy

I would recommend you run another test, first morning and the most sensitive test. If neg, call your md for advice. 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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