WOMENS-HEALTH Messages for March, 2007: Re: MENORRHAGIA: Long cycles

Re: MENORRHAGIA: Long cycles - anyway to shorten?

From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Fri, 23 Mar 2007 14:35:17 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: sabbu: "INFERTILITY: Role of laparoscopic treatment of endometriosis in patients with failed in vitro"
Previous message: SAMIR AZIZ KHALAF MD: "Re: GENERAL: Dear 'Helping'"
In reply to: Patricia: "MENORRHAGIA: Long cycles - anyway to shorten?"

At Tue, 20 Mar 2007, Patricia wrote: >
>Hi,
>
>I have very long cycles - usually around 40 - 44 days. I have become
>pregnant 3 times in the last 1.5 years only to lose all 3 pregnancies. I
>have heard that long cycles, and the associated late ovulation, can be
>associated with increased miscarriages as the egg quality and uterine
>lining quality are not as good. Is there anything that can be done to
>shorten a long cycle to try and avoid these problems?
>
>Thanks

There are a number of problems that should be considered:

1) status of the lining of the womb (endometrium). This should be evaluated by a gynecologist with a hysterosalpingogram as well as a D&C.

2) An experienced ultrasonographer of the pelvis may determine the width of the lining as it may be excessive.

3) There may be hormonal problems such as a luteal phase defect, problems with progesterone, or the presence of polycystic ovary syndrome which may present with menorrhagia and a picture of what is called "dysfunctional bleeding".

These are initial steps in attempting to make a diagnosis of the prolonged bleeding and a possible diagnosis such as PCOS.Treatment will depend on a proper diagnosis.

Best of luck in your quest.

Next message: sabbu: "INFERTILITY: Role of laparoscopic treatment of endometriosis in patients with failed in vitro"
Previous message: SAMIR AZIZ KHALAF MD: "Re: GENERAL: Dear 'Helping'"
In reply to: Patricia: "MENORRHAGIA: Long cycles - anyway to shorten?"

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: