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Re: absent/heavy periods

From: anonymous@obgyn.net
Sat, 20 Oct 2001 08:22:18 -0500 (CDT)


At Thu, 18 Oct 2001, abby wrote: >
>Hello,
>I have kind of a complicated question.. let me give a short history. My
>sister is 17 years old and she got her period at a normal age - I think
>it was at 13. For the first couple of years her periods were completely
>normal, but they started to get more and more irregular and last year
>she went about 6 months without having it at all. When she did finally
>get it, she had it very heavy for about 3.5 weeks. So I took her to the
>doc, who gave her some orthotricyclen to try to straighten things out.
>So we had her doing that for about a month and things seemed OK, except
>she was complaining of horrible cramps. So after her first set of pills
>she wouldn't take them any more. Since then she spots every couple of
>months but never really has a period. My question is, since the birth
>control (which isn't necessary otherwise - I'm pretty sure she's not
>sexually active) did help in regulating her periods does that mean that
>her irregular menstruation is not caused by some underlying problem? I
>am just concerned that if she doesn't take the birth control she may be
>increasing her risk for something.. is that true or am I just being the
>paranoid older sister? Also, since she is only 17 could that be part of
>the problem? I am just worried and trying to figure out if I should send
>her back to the doctor.. Thanks for any help.
>Abby

She does in deed have an underlying problem, most likey ovarian, but could also be thyroid, pituitary or adrenal. She needs to go back to a gynecologist to have this evaluated. Birthcontrol pills are the easiest treatment, and her cramping more likely came from stabilizing the uterus lining than from an adverse affect of the pill. If she would stay on them for three months she would notice a much improved situation. If she refuses the pills, then she needs to have a period every month or at minimum every two month, using something call progesterone.

Still, my advice is for her to get an evaluation by a gynecologist.

--
Richard Chudacoff, MD
Chudacoff Obstetrics & Gynecology, PLLC
Sugar Land, TX

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.

**Thank you for understanding :).**




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