WOMENS-HEALTH Messages for September, 2007: Re: GYNECOLOGIC: Is there a relationship between UTI and irregular menstruation?

Re: GYNECOLOGIC: Is there a relationship between UTI and irregular menstruation?

From: D. Ashley Hill (anonymous@obgyn.net)
Tue, 25 Sep 2007 21:19:07 -0500 (CDT)

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In reply to: Alana: "GYNECOLOGIC: Is there a relationship between UTI and irregular menstruation?"

There are many reasons why someone might miss their menstrual cycle for several months, including pregnancy, hypothyroidism, elevated prolactin levels, anorexia, very vigorous exercise, premature menopause, certain non-cancerous brain tumors, perhaps severe stress, and lack of ovulation (called "anovulation" in medical lingo). Anovulation is the second most common cause after pregnancy. After a negative workup, most ob/gyn physicians will prescribe a progesterone pill or shot then see if this induces bleeding. If this works, the diagnosis is anovulation and your doctor can look for a source. If it doesn't work it's back to more testing.

Basic UTIs are not a cause of abnormal or missed periods, with the very rare exception of septic shock from a kidney infection. I assume you don't have this, because you would be typing the question from the intensive care unit :)

I would suggest talking about this again with your ob/gyn. This is pretty basic stuff for ob/gyn doctors. However, if your doctor is not comfortable with this, he or she might consider referring you to a reproductive endocrinologist. Good luck and best wishes,

-- D. Ashley Hill, MD

At Tue, 25 Sep 2007, Alana wrote: > >I am an otherwise healthy 26-year-old mother of one. And not have had a >period in a few months. I have just completed a series of test with my >GP and OBG including pregnancy, thyroid, kidney, prolaction(sp?) so on >and so forth. The only test that came back positive was for small >amount of blood in my urine. My GP said that I have a UTI and that is >what is causing me to not ovulate. (I have had no symptoms of an UTI). >He said that I should start having my period again after the infection >clears up. It doesn’t sound right. I know something is not right with >my body. It there a relationship between a UTI and missing periods. >What could be the lager problem?

-- D. Ashley Hill, MD Division Director, Dept. of Obstetrics and Gynecology Medical Director Florida Hospital Orlando Loch Haven Ob/Gyn Group 235 East Princeton Street, #200 Orlando, Florida 32804 http://www.lochhavenobgyn.com

Please understand that due to time constraints I am unable to answer any personal emails, therefore they will receive no response.

These comments are general educational comments and should not be construed as specific medical advice. The best person to answer your health care questions is your physician or other health care provider. Thank you very much.

Next message: William F. von Almen, II, MD, FACOG: "Re: HYSTERECTOMY: Post Endometrial Ablation - Sudden reversal in results,"
Previous message: Robin: "Re: NOTTOOSURE: sensitive breast"
In reply to: Alana: "GYNECOLOGIC: Is there a relationship between UTI and irregular menstruation?"

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