WOMENS-HEALTH Messages for August, 2002: Re: Irregular periods

Re: Irregular periods - endo or perimenopause?

From: Samir Fouad Aziz MD (anonymous@obgyn.net)
Mon, 19 Aug 2002 19:04:46 -0500 (CDT)

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In reply to: M.K.: "Irregular periods - endo or perimenopause?"
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Reply: M.K.: "Re: Irregular periods - endo or perimenopause?"

At Mon, 19 Aug 2002, M.K. wrote: >
>I will be 36 next month. I was dxd with stage 1 endometriosis a year
>ago via a laproscopy. All visible adhesions, except one my left ureter,
>were removed. I started having irregular periods about 7 months ago.
>About 3 months ago my gyn did a variety of tests (pelvic, pap, vaginal
>ultrasound, hormone levels, infection screen, pregnancy test) and they
>all came back normal or negative. I have some cramping during ovulation
>and menses, but nothing naproxen can't take care of. At my insistence,
>my gyn put me on a course of birth control patches. I had to
>discontinue them after the 1st month because of side-effects. I'm back
>again to the irregular cycles and this month, I spotted some after
>intercourse. This has NEVER happened before.
>
>Could my endo be back even though the pain hasn't increased? Or is this
>just perimenopause and I just have to get use to the bizarre cycles?

??did you have a urter removed?? these symptoms are not perimenpausal, most likely related to endometriosis and you might need endometrial biopsy to investigate this irregular bleeding and repeat pap smear.

-- Samir Aziz MD Assist.Professor Ob.Gyn Director Gynecologic Oncology Al-Azhar University-Egypt Editorial advisor Obgyn.net, Pregnancy and birth & Gyn.Oncology

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 intervention.

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