Re: MENORRHAGIA: Perimenopause and Cystic Ovaries
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Wed, 25 Jul 2007 13:52:32 -0500 (CDT)
Anna
Everything your gyn has said is appropriate as is his suggested therapy
for you. Good Luck...Dr. von Almen
At Wed, 25 Jul 2007, Anna Radziewicz wrote:
>
>I had gastric bypass surgery about 4 years ago. I lost 100+ lbs. Since
>that time I've had recurrent menstrual irregularities. I am 46 years
>old and since age 42 have been experiencing irregular periods. My
>periods abruptly stopped after being regular pretty much all my life.
>Then after not having a period for three months or more I had what I
>thought was a regular period. Then two weeks after that bleeding
>recurred and this has been my pattern for the last several years. I've
>been on and off BCP to regulate my hormones. Once I get off them after
>a few months my menstrual pattern happens again. I've had sonograms,
>hormone levels, biopsys etc... and the only thing they can come up with
>is that I'm perimenopausal and because of my weight loss my hormones are
>out of whack. Both my ovaries now have multiple cysts and again I'm
>being put on BCP pills to regulate my cycle. Do you think that I will
>be on BCP pills until menopause? Is this safe? Should a perimenopausal
>woman be forming multiple cysts on both ovaries? I do not have any
>symptoms of menopause other than irregular periods. (No insomnia, no
>hot flashes etc...). My GYN says that I'm having anovulatory periods
>and that I need to shed my lining otherwise I could be at risk for
>endometrial cancer that is why he wants to put me on BCP so I can have a
>period every month. Could this just be my body and its response to
>wrong hormone signals. Do I really need to do anything? Even on BCP
>pills I tend to bleed through them at times. I'm anemic, B-12
>deficient, Vitamin D deficient due to GBS and I guess the anemia due to
>recurrent bouts of bleeding. When I get my period sometimes I think
>what I'm experiencing is normal then I get these "funky" periods which I
>know are not normal. They come out of no where. I pass mega clots and
>bleed significantly longer. I currently have achiness on both sides and
>my back which I normally do not experience any kind of cramping,
>bloating, etc.... My endometrial lining does fluctuate. It's been as
>thin as 2mm and as thick as 11 mm. I had a sono in April and had not
>had a period in 3 1/2 months and my lining was 2 mm and my right ovary
>only had one cyst and my left ovary had no cysts. I had two periods in
>July two weeks from one another and my sono showed that now both ovaries
>have multiple cysts and my endometrial lining is now 3 mm in thickness.
>After having a period wouldn't my lining be less thick and not have
>increased in a few months? How did my ovaries develop so many cysts in
>such a short period of time? Can this pattern continue until I'm in
>menopause?
>
>--
>Anna Radziewicz
>
>--
>Anna Radziewicz
>
--
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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