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Recent Estrogen questions

Dr K, My prior question had gotten so and I had already

Dr K,My prior question had gotten so long and I had already rated you so I'm asking this question as a new paid question. I hope you can help.Just a quick recap.Had 2 nd mirena IUD placed may 2015I hadn't had a period before placing the second Mirena until 2 months before whereas I would have a light period sometimes, other times a day of spotting.Was chalked up to mirena.After 2nd mirena , I would have a day or two of spotting, sometimes 3 months with no period, then light period for a few days. Sometimes a period within 2 weeks of one another. No real cycle.After the 2 ND mirena was placed, my primary did bloodwork and added in FSH and estradiol.FSH was 134Estradiol was -15I was told I was post menopausalBloodwork was repeated in 2 months and again the numbers wereFSH 137Estradiol -15I removed the IUD ( you had suggested as well) and had a endometrial biopsy because I was concerned why I was bleeding if I were post menopausal.BX was negative.4 weeks after the biopsy, after finding out I have 2 simple cysts on my ovary, my primary did ca125 which was normal ( under 35) at 15She added in FSH and estradiol after the blood was at the lab for 8 days.The FSH is 4.9Estradiol 86Seven days After this bloodwork, was drawn, I had a light period that lasted 4 days, if that helps.Tests were all done at quest so ref range are the sameFollicular phase 2.5-10.2Mid cycle 3.1-17.7Luteal phase 1.5-9.1Post menopausal 23-116Please help me understand what's going on.Am I post menopausal or not?Thank you!!

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khagihara

Post-Doctoral Degree

5,678 satisfied customers
I had indometrimoses when I was in my twenties now at 71 I

I had indometrimoses when I was in my twenties now at 71 I have thicking of the uterine wall. Should be worriedJA: Have you seen a doctor about this yet? What medications are you taking?Customer: No special Dr yet. Lot of muscle relaxer and pain meds. Thyroid meds and fibromyalgia meds.Bad back with fibromyalgia. Half a thyroid.JA: How long have you had the pain? What seems to make the pain better or worse?Customer: Pain for 30 yesrs. Just walking makes it worse. Standing and bending the most. Am having nerves burnt to stop transmission of pain down my legs.JA: Anything else in your medical history you think the doctor should know?Customer: Have recently started estrogen gel vaginal.

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26,828 satisfied customers
I am nearly a 40 year old female with a missed period. My

I am nearly a 40 year old female with a missed period. My last intimate encounter with a male was over 8 months ago. I've taken a pregnancy test (just for reference) and it was negative, so what could possibly be going on with my body? I am having a few normal hormonal reactions such as breast tenderness and elevated emotions.Thank you!

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Anthony Bray MD

Doctoral Degree

13,658 satisfied customers
I feel my anxiety gets higher around my period, I was

I feel my anxiety gets higher around my period, I was wondering if I can be peri menopause I am 40 years old my gynocologist says I'm to young but I have vaginal dryness, bad breast tenderness weeks before period if it's not peri what can it be and what can I do?

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Dr. SH

Board Certified Physician

Doctoral Degree

14,600 satisfied customers
I currently have a Merena IUD. It is due to come out

I currently have a Merena IUD. It is due to come out September 2017. I don't want to replace it due to cramps which I believe are because I haven't given birth before.The reason I chose this option is because I have tried others, such as the pill, which made me extremely nauseous. The ring seemed to give me irritation after more than two years of use and I always had fairly frequent migraines. (Zero migraines since IUD)I am wondering if the patch is an option for me, but I am worried because of the higher dose of hormones needed due to the distance to the uterus. I plan to try the patch on its own for at least 6 months.My question is... if for some reason the patch alone gives me problems, is it crazy to want to have the ring for 3 months and switch to the patch for 3 month and maintain a schedule like that? Are there any benefits?

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Dr. Norm S.

Doctoral Degree

11,688 satisfied customers
My question regards what the best testing options would be

My question regards ***** ***** best testing options would be for prolonged, sometimes heavy, irregular bleeding would be.I'm 28, otherwise healthy, I eat well and exercise, BMI of 18.I've been having irregular bleeding issues since starting my period at age 13. I hadn't had more specific testing until more recently. Advice in the past has been just take birth control pills, which I did for a number of years (mostly Yaz) but quit due to nausea/headaches. I didn't have issues with bleeding while on Yaz. I was also taking Yaz for acne which did help, when I was on it.I currently have Paraguard which I've had for the past 5 years, the heaviness of periods may have increased slightly, but the irregularity/spotting hasn't.I've been tested for STIs, and I'm in a monogamous relationship. I had an irregular pap about 5 years ago, and had the LEEP procedure soon after. Since then I've had all normal pap results.I had some pain that felt like my IUD may have moved about 3 years ago, I had an ultrasound and they reported it was in place. I also asked about my ovaries/uterus. They said there where no cysts/fibroids visible. That "poking" pain has since resolved it's self on it's own.I've had thyroid, and prolactin levels checked which were normal. As well as testosterone which was 57 ng/dl (total), .8 ng/dl (free) which I think are normal? DHEA 187 mcg/dL. This was in 2011.I also had the results of PROGESTERON-17OH 92 ng/dL, in 2011. At the time I was bleeding throughout the month and couldn't really tell at what stage in the cycle I was in, which was why I had the test in the first place. So maybe there was a communication error there, but as far as I know there is no way to know if this was a normal result or not?I've also had my fasting blood sugar tested at a recent physical which was 80, which I believe is normal. My white blood cell count was a bit low at 3.4.So currently this last month I started to spot/bleed randomly throughout the month as I usually do, but more so, this month I've been bleeding everyday for over a month. It's ranged from changing a liner a few times, to changing a regular pad a few times. I also took a pregnancy test just in case, which was negative.I had tracked my cycle this past year for a few months when things where a bit more regular, at least for me and the lengths lasted from 28-35 days. The period would last from 6-8 (couple times 9 days). I also noticed I will bleed a small amount, for a couple days before each period begins. I'd often spot throughout the month, sometimes after sex. Within the past 3 or so years I had experienced hot flashes occasionally ( think maybe about 10 in total). Which I don't think it's normal for my age? It's been quite a few months since I've experienced it. It was very noticeable in the winter, I'd sweat so much at once that I'd feel the need to change my shirt. I've also had moderate acne (since puberty), most of it went away when I took Yaz, but came back when stopped taking it. It's annoying but not my main issue.Anyways I've thought about having some type of test done which tests specifically for estrogen/progesterone and other related hormone levels. I'm not sure which would be the best options and indicators for me. The advice I've gotten in the past is birth control pills which I'm sure would likely help, but now that I'm 28 I'm curious to know more specifically what my issues may be. I haven't decided on having children, but I know it's something I may need to know about soon, and perhaps a bit worried that something could be wrong and I want to be able to prevent further issues from developing. Any suggestions or ideas would be great.I know I just gave a lot of info, and some is probably irrelevant, but I thought I would just in case this this helpful. Please feel free to ask further questions.Thank you very much for your help, and time.

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I am almost forty-five years old. My periods have been

I am almost forty-five years old. My periods have been pretty regular and on the heavier side my whole life. The last couple of years I have had early symptoms of menopause. My periods have been lighter and somewhat irregular. It was 2 1/2 months since my last period when this one started. I have had it now for 17 days. Should I be overly concerned? Should I be scheduling an appointment? No one in my family has been through normal menopause so I have no one to ask questions.

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khagihara

Post-Doctoral Degree

5,678 satisfied customers
I haven't had my period since May 28th, 2 days ago my

I haven't had my period since May 28th, 2 days ago my breasts started becoming sore and tender to touch, hard for me to even sleep. I took a pregnancy test today and it was negative, I am not sure when I am ovulating so I feel lost and confused. Please can you help me.

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Dr David

Radiation Oncology Attending Director

Post-Doctoral Degree

48,874 satisfied customers
I been in post menapause for 4yrs. I am 59 now...Started

Hi. I been in post menapause for 4yrs. I am 59 now...Started peri men.at age 45...have had severe symptoms .trouble with insomnia,sweats,anxiety,trouble with balance ,back muscle stiffness. Dizziness,disoriented ,fatigue,weakness,vision trouble ,depression, ect. tried everything out here to relieve these symptoms. And started lo dose estrogen patch an progesterone pill 4 days now. How long will it take to relieve some of these symptoms.? Been a nightmare for over ten yrs. ...suffering badly. Most drugs I have paradoxicall effect. An sensitive to many drugs.all tests. Come out normal.....except high cholesterol. .so stiff an head pressure so bad ... help?

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khagihara

Post-Doctoral Degree

5,678 satisfied customers
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