WOMENS-HEALTH Messages for April, 2003: Re: Cyclic Anal Fissures

Re: Cyclic Anal Fissures

From: Jessica Bardales MD (anonymous@obgyn.net)
Wed, 30 Apr 2003 20:11:25 -0500 (CDT)

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In reply to: Sara: "Cyclic Anal Fissures"

Definitely what you describe, in the absence of thyroid disorder, are symptoms of the climateric or perimenopausal period of life. The reduced levels of estrogen often leads to a thinning of the skin and mucosa, situation which could lead to fissures. You should test for female hormones levels in your blood as well as for micronutrients. A deficiency in micronutrients could also lead to the thinning you describe.

At Wed, 30 Apr 2003, Sara wrote: >
>I am 41.
>
>I have noticed that at ovulation and again just before my period I get
>anal fissures.
>
>I had an internal lateral sphincerotomy which was to be 90-95% effective
>with no recurrance but they continue to return. Had the sigmoidoscopy,
>blood work etc and no cause was found. I have had a second look by
>another colorectal surgeon and still nothing. I was told that the skin
>there is thin looking and dry but not dermatitis showed up.
>
>The fact that all my skin is dry (thyroid is normal) makes me wonder if
>hormones are related as I do have night sweats, shortened cycles, etc
>related to perimenopause.
>
>So...being that this is cyclic, could hormones play a role in anal
>fissures?

--
Jessica Bardales MD, SOCOG
Hospital Ginecobstetrico Docente Provincial, Camaguey, Cuba.
*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 emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

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In reply to: Sara: "Cyclic Anal Fissures"

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