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Dr. Owen
Dr. Owen, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 55091
Experience:  Board Certified: Ob/Gyn & Preventive medicine, US Medical Graduate
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missed period. 48 years old. i have normal regular period

Resolved Question:

missed period. 48 years old. i have normal regular periods. My breast are starting to be a bit itchy and slight tender
Submitted: 3 years ago.
Category: OB GYN
Expert:  Dr. Owen replied 3 years ago.
Chat Conversation Started
Dr. Wilson :

Hello, and I am pleased to help, use of my answers are for educational purposes only.

Dr. Wilson :

I would recommend checking a pregnancy test, although since you are 48 this is probably not due to a pregnancy

Dr. Wilson :

Also, this could be the start of menopause with decreasing estrogen.

Customer :

I guess my periods are so regular this is just a sudden stop

Customer :

if nor menapause then what

Dr. Wilson :

Have you had a recent mammogram and if so, what were the results?

Customer :

no

Customer :

breast exams are fine

Dr. Wilson :

When was you last mammogram?

Customer :

i never had one yet

Dr. Wilson :

Do you have any discharge from the breast such as milky discharge or blood

Customer :

the doctor says i can wait

Dr. Wilson :

Mammograms should be started at age 40 and then every year thereafter

Customer :

no

Customer :

what is milky discharge

Dr. Wilson :

Leaking from your nipples that looks like milk

Customer :

no. if you did then what

Customer :

no lumps, no discharge

Dr. Wilson :

If you had this discharge then I would recommend checking a Prolactin level

Dr. Wilson :

this is a blood test

Dr. Wilson :

But, I would recommend starting with a mammogram

Customer :

what is prolactin

Dr. Wilson :

Also, then I would do a Pelvic exam to check your ovaries with a possible additional ultrasound of the pelvic to check the ovaries.

Dr. Wilson :

Prolactin is a hormone produced in the pituitary gland behind your eyes that causes you to have a milky discharge (what allows a woman to breast feed, but sometimes this gland grows on its on and causes problems).

Customer :

what is prolactin

Dr. Wilson :

I just stated what prolactin is - did you read my previous statement

Customer :

what type of problems

Dr. Wilson :

Are you reading what I wrote

Customer :

Yes. What type of problems

Dr. Wilson :

milky discharge

Dr. Wilson :

and you complained of breast problems - so I was asking if you had milky discharge, you said no, so unlikely this is a prolactin problem

Customer :

just a slight itch

Dr. Wilson :

But, you are complaining of breast problems and you have not had a mammogram so that is a bit concerning when the recommendation is to get a mammogram every year starting at age 40.

Dr. Wilson :

you also said tender, correct

Customer :

not really. They were very tender last month before my period. I haven't had tender breast at all this month like usual before my period

Dr. Wilson :

how long have they been itching

Customer :

slight itch just a couple of days it stopped

Customer :

I had a slight spotting around the 1oth of August , sut then no period

Customer :

My period starts on August 21 but it didn't and it is always on time

Dr. Wilson :

Well - it is very difficult to say exactly what is going on with your breasts - but here is what you should do.

Dr. Wilson :

1. You need a mammogram with a GOOD breast exam - because itching breast is just one sign of breast cancer such as Inflammatory breast cancer.

Dr. Wilson :

2. You need a good pelvic exam - to include a pelvic ultrasound to check your ovaries - as an ovarian problem such as a cyst can cause a breast problem.

Dr. Wilson :

3. I would check a few blood tests such as Prolactin, and a TSH thyroid test.

Dr. Wilson :

I hope this helps, If you have additional questions, please ask, and Please click no ACCEPT as this would be appreciated for my time and services, thank you.

Customer :

o.k. but my breast were itching on the outside. I thought clothing. what about implant bleeding

Dr. Wilson :

What implant

Dr. Wilson :

you never said you had an implant

Customer :

if a women is pregnant they may spott before period comes. but period doesnt. i never had implants

Dr. Wilson :

please explain - you said you had regular periods?

Customer :

i spotted for a day or two light pink. but period never came

Dr. Wilson :

This is most likely due to menopause.

Dr. Wilson :

Very unlikely due to a pregnancy

Dr. Wilson :

I think I stated that in my original statement when we started

Customer :

o,k this comes suddenly like this

Dr. Wilson :

It CAN come on suddenly

Dr. Wilson :

Which can be a blessing for most women instead of it dragging on for 2 to 5 years

Customer :

yes doctor. can i have children at 48

Dr. Wilson :

I hope this helps, If you have additional questions, please ask, and Please click no ACCEPT as this would be appreciated for my time and services, thank you.

Customer :

yes my mom said it was a blessing

Dr. Wilson :

Very unlikely given that you probably do not have any eggs left

Customer :

i have a son 31

Dr. Wilson :

And, if you read about John Travolta wife, Kelley Preston - she had IVF most likely

Customer :

ivf?

Dr. Wilson :

IVF is when a doctor implants the embryo - so not a natural pregnancy

Dr. Wilson :

don't worry, I would be quite surprised if you were pregnant - it just does not happen

Customer :

o.k thank you

Dr. Wilson :

The oldest I have ever seen any woman pregnant naturally is 44 - that is it

Dr. Wilson :

Please click on ACCEPT as this would be appreciated for my time and services, Thank you

Customer :

what about the lady we read about 50 and 63

Dr. Wilson :

Don't believe everything you read

Customer :

o.k when i press accept they will charge 16.00

Dr. Wilson :

Have a good morning and a great Labor Day weekend

Dr. Wilson :

Yes, that is all they will charge

Dr. Wilson :

That is all they will charge

Customer :

thankyou doctor you have been a big help

Dr. Wilson :

But, you have already paid the $16, this is so that I can get paid by Just Answer - I do not get paid unless you click on ACCEPT

Customer :

o.k i will click accept.

Dr. Owen, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 55091
Experience: Board Certified: Ob/Gyn & Preventive medicine, US Medical Graduate
Dr. Owen and other OB GYN Specialists are ready to help you

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