WOMENS-HEALTH Messages for November, 2002: Re: Short cycle, irregular periods: problem or peri-menopause?

Re: Short cycle, irregular periods: problem or peri-menopause?

From: Taryn (anonymous@obgyn.net)
Wed, 20 Nov 2002 19:30:11 -0600 (CST)

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In reply to: William McIntosh, MD: "Re: Short cycle, irregular periods: problem or peri-menopause?"

At Wed, 20 Nov 2002, William McIntosh, MD wrote: >
>At Tue, 19 Nov 2002, Taryn wrote:
>>>I am a 44 year old woman that has recently experiencd very short and
>>irregular menstrual cycles over the past six months. However now I get them quite clsor together. However, the concern is I have had 18 21 and, now a 10 day cycle recently. The episodes are short, relatively light, and similar to my normal menstuation in type.
>>
>>Since I am just turning 44, I just assumed that these short, irregular
>>cycles are due to pre-menopausal changes, but my doctor acts as if this
>>could be something else, which has alarmed me. I had an ultrasound
>>about two months ago, which came back fine, but my doctor dismissed this
>>and acts concerned, and even is thinking about a biopsy of my uterus,
>>which I have heard is very painful.
>>
>>My question is really focused on the relative danger and concern that
>>such short irregular cycles might bring to mind. In light of a clean
>>pap smear and a clear ultrasound, I am wondering how concerned .....
>
>The actual danger that there is something abnormal growing in your
>uterus is small, about 5% overall, but the cost of missing it is so
>high, and these potential abnormalities so curable, that an endometrial
>biopsy is very much indicated in this situation. Paps don't tell you
>much about the inside of the uterus, only the cervix. U/S is pretty
>good, but the biopsy is the gold standard.
>
>--
>William D. McIntosh, MD, FACOG
>

I went in to the Dr's offive today and they did another ultrasound. The results were normal, and my uterine lining was thin and consistant, with no thickening or remarkable areas. The doctor said to wait, and time my next couple of cycles. His attitude today seemed to be that this might just be peri-menopausal.....I am now really confused, because I have gotten two different messages from him. First he was worried and mentioned a biopsy, and now he is willing to wait for a while. After reading Dr response from the good Dr. McIntosh, it sounds like maybe a biopsy would be prudent. Any comments? Is this short cycle and irregular period issue normal for peri-monopause....Is the fact that I have always had short 48 hr periods pertinent to any of this? thanks. >

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Previous message: R. Daniel Braun, MD: "Re: Inhaled corticosteroids do have systemic action - apology to Dr. Braun"
In reply to: William McIntosh, MD: "Re: Short cycle, irregular periods: problem or peri-menopause?"

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