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Re: Change in Menstration

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 15 Jun 1997 20:41:20 -0500 (CDT)


Hi Jessy, >I am now 20yrs old, I had my first period when I was about 10yrs old. My
>period has always been about 30 days apart, usually last 3-4 days, NEVER
>over 4 days. I have never had any spotting before or after my period,
>it has always began and ended very heavily. That was until this last
>month.
>I went in for my annual pap smear recently, it just happened to be about
>time for my period.
>After my examination my doctor said he expected my pap to come back
>abnormal, because he said I was very red and inflamed (didn't explain
>what might cause this, and said it wasn't due to being near my period);
>anyway, my pap came back completely normal.

No problem. If doctors had microscopic eyes, we wouldn't need to do paps ;-)

>But, the day after I had my
>pap I began my period, it began very heavily as always, but lasted for 8
>days; and then for another week+ I spotted heavily(both very unusual for
>me). I also had bad cramping
>with this period, which I almost never have any cramping at all. I have
>been on birth control pills for about a year and
>a half. During the time of this period I was on the placebo (green)
>pills only half that time. So it also concerns me that I continued to
>bleed even while on the pill(orange).

Again, not a problem. Irregualrities can happen, even on the pill. Sometimes it's stress, sometimes weight loss/gain, good things, bad things, no things (meaning sometimes it just plain happens). If it sets up a trend (my definition being 3 months of irregularities) I'll change the pill. With a recent pelvic exam that was normal, I'd just watch it.

>I would appreciate any opinions or suggestions as to the possible cause
>of this change. Yes, I realize this can't be a substitute for seeing my
>doctor.

Good. You've been reading all the way through ;-)

>But, with working full time and school full time it is hard to
>get an appointment, and I thought this might ease my mind until then.
>Thanks.

You're welcome. BTW, working full time and school full time can be a stress.

Sorry it took so long to get a response but with Shavuos (a religious Jewish holiday) from Tuesday night til Thursday night, on-call and in the hospital with two deliveries Thursday night and then Friday night til Saturday night being Shabbas (Jewish equivalent of Sabbath), this is my first time on the computer in days.

--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/heroes/harveym.htm

*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.




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