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question re:bcpFrom: Pauline (anonymous@obgyn.net)Sat, 27 Jan 2001 09:46:32 -0600 (CST)
At Thu, 25 Jan 2001, Pauline wrote: > >Since the doctor has recommended that I start on BCP, I should have >regular cycles without any of the spotting that I had experienced prior. >Will the BCP (Ortho-Tricyclen) regulate my cycle afterwards if I should >go off the pill? My concern is that by taking the pill it addresses the >bleeding, but does not address the reason why I an not ovulating. Can >someone please give me some reasons/explanation as to why ovulation may >occur for some months and not for other months? My periods for the 5 >months prior to November (the initial occurrence of spotting) were >regular for me as they would occur every 30 -35 days. > >At Mon, 22 Jan 2001, j wang, M.D. wrote: >> >>It means you may not be ovulating, but the level changes at different >>times of the cycle. Usually the simplest measures are th ebest. Keeping >>track of your periods, or lack of them, over several months can help >>lead testing in one direction or another. The obvious question would be >>to ask if there is a simple explanation for your cycle pattern. The doc >>should take it form there and explain based on your history and exam. >> >>At Mon, 22 Jan 2001, Pauline wrote: >>> >>>So, in order to understand this...if I have low progesterone, that means >>>that I am not ovulating? What would the procedure be (what could I >>>expect) if I were to ask for an evaluation of my irregular cycle. I >>>meet with the doctor in May and could you please give me some questions >>>that I could ask? >>> >>>Thanks for your input and advice. >>> >>>At Mon, 22 Jan 2001, j wang, M.D. wrote: >>>> >>>>The progesterone level can give an indication if ovulation has occured. >>>>An evlauation of your irregular cycle could be done now or later, when >>>>you want to start a family. If you know now, at least you will know >>>>what to expect in the future. ask your doc. >>>> >>>>At Mon, 22 Jan 2001, Pauline wrote: >>>>> >>>>>My spotting ended on Dec 5th, started another period on the 19th, which >>>>>seemed normal. Started spotting lightly again on Jan 9th. Blood tests >>>>>indicated that I was low on progesterone and according to these tests, >>>>>the doctor stated that I may or may not be ovulating during some months. >>>>>The doctor recommended going on birth control pills to regulate the >>>>>cycles and I am taking Tricyclen. >>>>> >>>>>Can you please explain why I would not be ovulating and the effect that >>>>>progesterone has? Also, since birth control stops ovulation, wouldn't it >>>>>be better to find out why I am not ovulating in the first place? I would >>>>>like to have kids someday. I am 34 years old. >>>>> >>>>>At Thu, 30 Nov 2000, Harvey S. Marchbein, M.D. wrote: >>>>>> >>>>>>Spotting shouldn't be expected to cause anemia. Heavy periods should be >>>>>>kept track of to see if they recur and if they're longer than 10 days >>>>>>routinely, or closer than 21 days apart (for several cycles in a row) or >>>>>>if the bleeding is so heavy you go through 3 pads fully soaked in one >>>>>>half hour - call the doctor. >>>>>> >>>>>>Hope this helps and write back anytime for more information. >>>>>> >>>>>>HSM >>>>>> >>>>>>At Thu, 30 Nov 2000, Pauline wrote: >>>>>>> >>>>>>>At Wed, 29 Nov 2000, Lynn D. Montgomery, MD wrote: >>>>>>>> >>>>>>>>At Wed, 29 Nov 2000, Pauline wrote: >>>>>>>>> >>>>>>>>>My period started on Nov 3, ended on Nov 10, and I started spotting on >>>>>>>>>Nov 15th. I have never spotted before. The spotting lasted for a week >>>>>>>>>(brownish discharge upon wiping and then having to have a pantyliner). >>>>>>>>>Spotting then led to bleeding which, at first, was bright red, now has >>>>>>>>>started to pass clots (now wearing a pad). Bleeding has not yet >>>>>>>>>stopped. I am not on birth control and I am not pregnant. What's >>>>>>>>>happening? >>>>>>>>> >>>>>>>>>I had sex on the 10th, 13th and 17th, could this be the cause? My cousin >>>>>>>>>has endometriosis and since it runs in families, could this be the >>>>>>>>>cause? With my periods I usually experience a lot of cramping - to the >>>>>>>>>point where I need to lie down. Also, I pass clots during this time >>>>>>>>>too. >>>>>>>>> >>>>>>>>>Any and all information would be appreciated. >>>>>>>>> >>>>>>>>>-- >>>>>>>>>Worried >>>>>>>>> >>>>>>>>I would not be worried about this one occasion of irregular bleeding. >>>>>>>>The cycles can be affected by a variety of things in our lives and this >>>>>>>>may just be one of those times. I would be patient and see what >>>>>>>>happens. If you are over 40, then I would discuss this with your >>>>>>>>physician... >>>>>>>>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. >>>>>>>> >>>>>>>If the bleeding does not stop or if it becomes heavier, do I need to >>>>>>>worry about anemia? >>>>>>> >>>>>>>>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response. >>>>>>>> >>>>>>>>**Thank you for your understanding ;-) >>>>>>>> >>>>>>>-- >>>>>>>Worried >>>>>>> >>>>>>-- >>>>>>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 ;-) >>>>>> >>>>>>Please be aware that all e-mail on this forum is archived and can be viewed at >>>>>>http://forums.obgyn.net/womens-health, >>>>>>http://forums.obgyn.net/pregnancy-birth or >>>>>>http://forums.obgyn.net/young-women >>>>>>and is accessible to anybody on the >>>>>>internet including internet search engines. This should be taken into >>>>>>consideration before sending postings of a personal or confidential nature. >>>>>> >>>>-- >>>>James Wang, M.D >>>>Assitant Clinical Prof. >>>>Tufts University School of Medicine >>>> >>>>**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. >>>> >>>-- >>>Worried >>> >>-- >>James Wang, M.D >>Assitant Clinical Prof. >>Tufts University School of Medicine >> >>**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. >>
-- Worried
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