WOMENS-HEALTH Messages for July, 1997: Re: Abnormal Menstruation

Re: Abnormal Menstruation

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 14 Jul 1997 20:58:05 -0500 (CDT)

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At Sun, 13 Jul 1997, Jodi wrote: >
>For the past 6-8 months I have been experiencing periods that range in
>length from 9 to 18 days long. I keep a chart. They start as just
>brownish spotting and then about a week or so later become full regular
>periods that last between 3-10 days. I had an endometrial biopsy last
>month that apparently was done too early in my cycle so it showed no
>evidence of ovulation, nor did it show anything threatening, such as
>cancer. I had a blood test for progesterone levels which also showed I
>was not ovulating. I know from prior infertility treament that I have a
>luteal phase defect and low progesterone levels. I also take the
>anti-depressant Wellbutrin which I read in alt.menopause once that it
>had messed up another woman's period. My psychopharmacologist as well
>as my gynocologist both said they had not heard of that particular drug
>casue menstrual problems. My gyn is now perscribing a hystersonagram
>(sp?) and an ultrasound. I am not opposed to these procedures but
>wonder if there might be any other ideas out there concerning my
>problem. Sorry to be so wordy but wanted you to have all info.
>
>Thank you,
>Jodi Cobb

Hi Jodi, I agree with your assessment. You are definitely not ovulating. Periods every 9-18 tell you that. The biopsy and progesterone level just confirm it. Any condition that is associated with stress or depression can change your hormone status. It doesn't have to be the medication (although it might be), it can be the reason for the medication causing the problem.

Although a sonohysterogram (a sonogram which, in addition to a regular sonogram, instills sterile saline (salt water) into the uterus to look for abnormalities of the cavity of the uterus) may be helpful, I'd also be very interested in the following blood tests: FSH, LH, Thyroid function tests (t3, t4, TSH), Prolactin ....... and if necessary, less common blood tests such as DHEAS, free Testosterone and 17-hydroxyprogesterone.

Good luck on all of this.

-- 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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