WOMENS-HEALTH Messages for January, 2008: Re: MENORRHAGIA: No period after D and C

Re: MENORRHAGIA: No period after D and C

From: Garry Siegel, MD (anonymous@obgyn.net)
Fri, 25 Jan 2008 16:14:51 -0600 (CST)

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In reply to: Alice: "Re: MENORRHAGIA: No period after D and C"

Message posted on Garry Siegel, MD behalf by: Hope, Women’s Health Forum Moderator

It is possible that your lack of periods is due to cervical stenosis, or blockage as a result of surgery, though not commonly. Sometimes, simply opening the cervix in the office solves the issue. If your lining is thick and you haven't responded to Prometrium, you have to think about this.

It is also possible that you're not hormonally "right" and thus not ovulating and/or having periods.

This is unlikely to be stress related.

An assessment of your cervix and/or another trial of Prometrium is warranted, and either approach is fine.

Good luck, Garry Siegel, MD Roswell, GA Website: http://www.npobgyn.com/

http://www.obgyn.net/women/women.asp?page=/women/advisors/advisors-2#Siegel

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, they will receive no response.

At Wed, 23 Jan 2008, Alice wrote: >I am having the same issue as Katie.
>
>I had a D&C to remove a polyp on September 26, 2007 and I have not had a
>period since. In early December, I took 100 mg of Prometrium for 10
>days and to no avail. My doctor asked me to come in for a sonogram and
>said everything looked normal and my endometrial lining is the thickness
>it should be. That was two weeks ago and I STILL haven't started
>although I know I ovulated because I had fertile cervical mucous for two
>days. Now, my doctor wants to put me on another round of Prometrium but
>this time, it's 200 mg instead of 100 mg like before.
>
>I am so incredibly frustrated because my husband and I have been trying
>to conceive for almost a year (and we are both 36 and not getting any
>younger). My polyp was discovered during an HSG back in August.
>
>Is this uncommon? I am scared that something went wrong when the D&C was
>done but I had very little pain and bleeding afterwards. I just don't
>know what more to do and I can't figure out what the problem is - stress
>maybe?
>
>I have been having cramps and my usual PMS symptoms the past two months
>(didn't have in October and November) and haven't even had any
>spotting!!!
>
>I would appreciate any information or advice I can get my hands on.

Next message: Hope Waltman: "Re: GENERAL: Labia majoria extremely itchy 5 years -Vulvovaginitis - Vulva"
Previous message: Hope Waltman: "PREGNANCY: Epidemiology of Preterm Birth - presentations"
In reply to: Alice: "Re: MENORRHAGIA: No period after D and C"

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