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Re: MENORRHAGIA: Definite ovulation but no period and negative HPT?
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Thu, 24 Apr 2008 20:55:04 -0500 (CDT)
Bam
Sounds to me like you did not ovulate. I would call your doc and
discuss with him. You need an oral progestin to bring down a
period...Dr. von Almen
At Thu, 24 Apr 2008, Bam wrote:
>
>Hi. I'm 29 and had irregular periods in the past but since coming off
>of depo a couple of years ago, my periods have slowly regulated over
>time. My fiance and I decided to start trying to conceive a couple of
>months ago. My last period was February 23. I wasn't BBT charting then
>but I had other physical symptoms of ovulation... fertile cervical
>mucus, high and open cervix and *very* light ovarian cramps. I was due
>for my next period on March 21 but it never happened. I took 3
>pregnancy tests over the course of 3 weeks after that and they were all
>negative. I also began charting my BBT. According to BBT, cervical
>position and cervical mucus, I most definitely ovulated on March 29 and
>was due for my period on April 13 but I seem to be a week and 1/2 late.
>I took a mid-stream HPT first thing yesterday morning and it was
>negative. I have the standard pre-menstral/early pregnancy symptoms of
>sore breasts, frequent urination and mood swings, but I understand that
>these are not definitive of pregnancy or lack thereof. I don't have the
>premenstrual acne that I usually have nor do I have the lower back pain
>and cramps that I usually have with menstruation.
>
>In the past, my periods were *always* accompanied by extreme cramps, 3
>day long periods of light/average bleeding (I could go up to 8 hours
>without changing a tampon and not bleed through), extreme back pain that
>could only be eased with pain medication, severe mood swings and acne.
>
>Basically, I guess the question is: If I didn't ovulate last month and
>did this month, wouldn't that trigger a heavier period (with 2 months
>worth of lining to flush rather than 1) or is there something else going
>on? Is it possible to have all the symptoms of ovulation, including
>thermal shift, and not actually ovulate?
>
>Thank you in advance.
--
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.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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