WOMENS-HEALTH Messages for March, 2001: Re: ammenorhea

Re: ammenorhea

From: Patti Tessler, Family Nurse Practitioner (anonymous@obgyn.net)
Fri, 2 Mar 2001 08:41:06 -0600 (CST)

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At Wed, 28 Feb 2001, anonymous wrote: <snip>I can only assume that [Provera] is not going to help >me get my regular, normal (pre-pill) cycle back. Since medroxy won't
>help, what will?

I can't know without knowing the cause of your amenorrhea.

>I've already taken [Provera] in December 2000
>and have not got a period since. Shouldn't this and the fact that my
>thyroid and hormone bloodwork tests came back normal be sufficient
>enough for my doctor to figure out the cause of my ammenorhea?

The fact that you had withdrawal bleeding suggests you don't have an anatomical problem interfering with your period. The hormone tests are usually done to rule out medically or surgically treatable problems. Except for thyroid, I don't know what hormone tests your doctor did, so I don't know if they're sufficient to find the cause. In any case, the "cause" determined may be something as broad as anovulation (see below).

<snip>should I risk the side effects and take it to help prevent >overgrowth of the uterine lining?

I defer to your doctor's advice, since she examined you. She apparently decided the benefits outweigh the risks. If you feel you didn't adequately describe the side effects you experience on Provera, I suggest you call her to discuss these problems.

>What else can my health care provider and I look at for the causes <snip>

If I remember correctly, you mentioned you were slightly underweight and exercise regularly. Physical and emotional stress are common causes of anovulation (lack of egg release, which leads to lack of menstrual bleeding). Since she examined you, your doctor has some opinions on weight and exercise as contributing factors.

<snip>I'd ask my own health provider but she is >always overbooked and doesn't have much time to devote to sufficient
>explanation and patient questions.

Explanation and answering questions are an important part of the give and take between the patient and the health care team. All we online people can do is try to guess at the tests done and at the thought process involved. I urge you to call your doctor's office and ask her to give you a call back to answer your questions. If you are unable to communicate with your doctor, you might begin looking for a new one. Be sure to have copies of your test results sent to any new health care provider.

--
Patti Tessler, BSN, MSN, RN, CS
Family Nurse Practitioner

I'm sorry that I can not respond to private emails.
All private emails received will be ignored.
I regret that the recent increase in volume precludes a polite redirection.

Next message: Patti Tessler, Family Nurse Practitioner: "Re: Bactrin and medroxyprogesterone"
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Reply: anonymous: "Progesterone jumpstart"

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