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

Re: Irregular periods - endo or perimenopause?

From: M.K. (anonymous@obgyn.net)
Tue, 20 Aug 2002 09:14:03 -0500 (CDT)

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In reply to: Samir Fouad Aziz MD: "Re: Irregular periods - endo or perimenopause?"

How urgent should I consider the irregular bleeding? Right now it's just a nuisance. Should I wait a few more cycles and see if my body corrects itself or should I insist upon an appointment right away? Considering all the tests that were run a short while ago (with neg results), they might not want to see me until my next yearly appointment. Since my symptoms are mild, my gyn is pretty hesitant at doing any invasive testing.

My progesterone level wasn't checked with the blood work (only estradol, TSH, & FSH). I've been reading about natural progesterone cream being used for irregular periods. Should I investigate that?

I still have the left ureter intact. My gyn didn't want to touch the adhesion there because he was afraid of causing more problems. He said if it starts giving me problems (numerous kidney infections, etc.) I should go to a urologist. I only pointed that out so you'd know I still have active adhesions inside. There was a spot on my bowel he zapped with the laser and the scar tissue occasionally gives me pain if I get constipated.

On Mon, 19 Aug 2002, Samir Fouad Aziz MD wrote: >
>>??did you have a ureter removed?? these symptoms are not perimenopausal,
>most likely related to endometriosis and you might need endometrial
>biopsy to investigate this irregular bleeding and repeat pap smear.
>
>On 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?

Next message: Kim: "yeast infection"
Previous message: Michelle: "[Birth Control] question"
In reply to: Samir Fouad Aziz MD: "Re: Irregular periods - endo or perimenopause?"

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