WOMENS-HEALTH Messages for September, 1999: Re: HELP! DYRNESS, NO PERIOD, THIRD POST!!!

Re: HELP! DYRNESS, NO PERIOD, THIRD POST!!!

From: Patti Tessler, FNP (anonymous@obgyn.net)
Mon, 13 Sep 1999 13:04:12 -0500 (CDT)

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In reply to: mick: "HELP! DYRNESS, NO PERIOD, THIRD POST!!!"

At Mon, 13 Sep 1999, mick wrote: >
>I am 36, conceived for the first time in January and miscarried in March
>at 11 weeks. The m/c was followed up by a d&c. Since then my period
>has not returned, though I was always regular previously. My gyn had me
>try provera, then estrogen/provera, then provera again over a three
>month period but no withdrawal bleeding. Instead, I have constant yeast
>infections, severe abdominal cramping when I take the provera and
>vaginal dryness which has become more annoying over the past five
>months. The dryness has become such a problem that I have lost interest
>in sex. Lubrication has never been a problem for me in the past. All
>attempts to find a solution through my doctor have been in vain. She
>looks at me, shrugs and suggests lubricant. Can the dryness,
>infections, and lack of period be connected to my miscarriage and d&c?
>What questions should I be asking my doctor?

I'll take a stab at this one...I'm puzzled by your lack of withdrawal bleeding, and I would ask the doctor what are the possible explanations for no withdrawal bleeding. I would ask if any blood tests are required or if any have been done. Also, if you continue to be unhappy with the care you get, I would ask for a referral, perhaps to a reproductive endocinologist, perhaps to a different gynecologist. It sounds like you and this doctor are not communicating effectively, and the change may do you good. By the way, you might consider asking to try Prometrium instaed of Provera if progesterone treatment is suggested again; some women find the side effects more tolerable with Prometrium. It's possible that the miscarriage/D&C and subsequent problems are related, but impossible for me to determine that in retrospect. Best of luck.

--
Patti Tessler, BSN, MSN, RN, CS
Family Nurse Practitioner

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In reply to: mick: "HELP! DYRNESS, NO PERIOD, THIRD POST!!!"

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