Re: MENORRHAGIA: Vaginal Bleeding
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 27 Sep 2008 09:25:12 -0500 (CDT)
Shanice
At your age, I doubt uterine cancer. With your smoking history,
cervical precancer is possible as something about smoking seems to
accelerate dysplastic changes on the cervix.
Second, yes, you could be pregnant. Please do a first morning pregnancy
test to see. If yes, call your doc immediately.
Third, decide what you are going to do about the pill. You are doing
yourself absolutely no good by haphazardly taking the pill, forgetting,
restarting. You are just messing things up. Stop smoking now and do
yourself a favor...Dr. von Almen
At Fri, 26 Sep 2008, shanice wrote:
>
>I have an issue that involves many different factors. I am in my early
>20s, I have been smoking since I was 17. I probably smoke 1 pack of
>cigarettes a week. My doctor gave me a birth control prescription good
>for 3 months, she said she didn't want to give me a prescription for
>anything longer than that until I can quit smoking. I tried to quit
>smoking so that I could start taking my birth control, but wasn't
>successful. There were some days where I would smoke and also take my
>birth control pill. I did not take my birth control correctly however,
>I missed days, even weeks, and could never stick to the same time
>everyday. When I would try to return to my pill schedule, I would take
>two pills during any given day to "catch up." I was so inconsistent
>though. I would take it one day and not again for another 3 weeks.
>Since I haven't been able to quit smoking, I decided to just stop taking
>the pill altogether. I have had unprotected sex since then and my
>partner ejaculated inside of me. However, after we had sex, I started
>my period, but it was late and lasted only three days (my periods
>usually last 5-7 days), for the three days though, it was the normal
>type of flow for me. Less than three weeks from the date I started that
>period, I began bleeding again, this is weird because my cycles are
>usually 30-33 days long. I feel like I was just bleeding. But this one
>is weird because the blood is bright red (which is not too unusual for
>me, but I know it is associated with certain conditions)and mixed with
>mucus. I have been passing large clots, but there is not a lot of blood
>on the pad that I'm wearing. Could I be pregnant? Or is it just the
>effects of my body trying to readjust my cycle without the birth control
>pill? Since I've been smoking for so long, is it possible for me to have
>some type of uterine cancer?
--
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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