WOMENS-HEALTH Messages for March, 1997: Re: Amennorhea

Re: Amennorhea

From: Geffrey H. Klein, MD (anonymous@obgyn.net)
Sun, 2 Mar 1997 09:25:50 -0600

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>I am a 36 year old female and have had two children. I have not had a
>period for seven months. I am sure I am not pregnant. I also have
>galactorhea (breast milk). Last child born seven years ago. I took
>progesterone about four months ago to "jump start" my period. It was
>unsuccessful and left me feeling pregnant for about two weeks! Past
>history: infertile for five years, endometriosis, adhesions, cystic
>ovaries - one tube and ovary removed, fibrosystic breasts and a past
>history of irregular cycles. My cycles were fairly regular after the
>birth of my last child. Question!
>I have had all the standard blood work done, i.e. hormonal, progestron,
>prolacton, estrogen, thyroid etc. They all come back in the normal
>range! I am going to see a new doctor this month to try and solve this
>problem, can anybody suggest any further testing I should have done or
>give me a clue as to why this might be happening?

Failure to bleed after a progesterone withdrawal test indicates a relative lack of estrogen or a problem in the uterus. The next step in your evaluation is to try and differentiate between the two. The test involves providing the uterine lining with estrogen to simulate the follicular phase of your cycle and then add the progesterone to simulate the luteal phase of your cycle. If there is a withdrawal bleed it suggests that estrogen deficiency is the cause of your amenorrhea. If there is no bleed it suggests an anatomical abnormality that is is blocking the flow of blood.

Best of luck..

-- Geffrey H. Klein, MD listowner: OB-GYN-L Advisory Board Chairman, OBGYN.net < http://www.obgyn.net > Co-moderator: sci.med.obgyn gklein@bcm.tmc.edu gklein@icsi.net

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

Next message: Beverly: "Any Success after failed IUI and IVF?"
Previous message: Geffrey H. Klein, MD: "Re: Infertility"
In reply to: Donna: "Amennorhea"
Next in thread: Laurie: "Re: Amennorhea"

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