WOMENS-HEALTH Messages for October, 2001: Re: [Birth Control] amenorrhea and birth control/infertility

Re: [Birth Control] amenorrhea and birth control/infertility

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 4 Oct 2001 11:46:00 -0500 (CDT)

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At Wed, 3 Oct 2001, toni wrote: >
>when i was 16 i gat pregnent and had a miscarriage at 6 wks. i had no
>d&c but passed it on my own. i then was prescribed ortho-tricyclen
>shortly after. i was on the pill for 2 years. i finally got off of
>them when my fiancee and i decided we wanted to try again for another
>baby. the first month after i got off i had my period and the next 3
>months i didnt. my doctor prescribed provera and i had my period. the
>following month i again had no period and wasnt pregnant. my doctor
>told me i was probably was suffering from infertility. she then
>prescribed provera again and chlomide. i took the chlomide for 3 months
>and nothing..i then had a hystero/salipingo gram to see if my tubes were
>blocked. they were not. the month after the gram i had a heavy period
>for a week and a half..and i havent had my period for 2 months now. i
>want to know what could be wrong and what should i do..i am scared that
>i could be sterile or something else could be wrong. i am sick of
>taking provera and i want to know why i am not ovulating because before
>i got on birth control i had a regular peiod every month..plz help and
>give me answers or suggestions!!

Well, first, there is a small subgroup of patients that will have ovulatory difficulty after being on the pill. This usually resolves with time. Given the fact that you don't seem to ovulate, you require a basic evaluation that will include a prolactin and thyroid tests. If these are normal, then the best option is to optimize clomid. To approach this in a correctly systematic fashion, you want to see a OB/GYN with special interest in infertility or a reproductive endocrinologist, who specializes in infertility issues... 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: Lynn D. Montgomery, MD: "Re: [Birth Control] IUD"
Previous message: andrea: "[Birth Control] question"
In reply to: toni: "[Birth Control] amenorrhea and birth control/infertility"
Next in thread: R. Daniel Braun, MD: "Re: [Birth Control] amenorrhea and birth control/infertility"

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