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Recent Perimenopause questions

I am having irregular periods. I had a miscarriage 7 months

I am having irregular periods. I had a miscarriage 7 months ago. Ever since I have been having irregular heartbeats, and now irregular cycles. My last period was a week early at 21 days, then I felt like I ovulated 3 days later, and now I am spotting 16 days later....

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Dr Uzair

FCPS (R) General Surgery

M.B.,B.S. FCPS

9,944 satisfied customers
I'm 41 and I skipped a period last month. This never

I'm 41 and I skipped a period last month. This never happens. I have a negative pregnancy test. But I got cramps that whole week, tender breasts and low backache. Still nothing. What gives?

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Dr. Norm S.

Doctoral Degree

12,012 satisfied customers
My psychiatrist does lots of blood work each year to check

My psychiatrist does lots of blood work each year to check everything. He has been checking estradiol and FSH each year for about 5 years. Most of the time my estradiol and FSH are somewhat low, but I am also on a low dose birth control pill, so that was expected. In August, he also checked my testosterone. The results were that I had 8 ng/dl. He said that was very low. My estradiol was 69, but again, I was on birth control. Progesterone was <.1, FSH 3.9, and LH 6.4. Starting in October, I started struggling even more than usual with my perimenopausal symptoms...horrible night sweats, insomnia, feeling that I could cry at any moment, and vaginal dryness, to name a few. I talked to my psychiatrist and asked about my meds because I wondered if I needed to go up because I was worried I was depressed. He did my blood work again and this time, my estradiol was <5. He didn't check FSH, LH, or testosterone that time. He was concerned with my <5 estradiol result. He said that even on the pill, that kind of change is significant and that I should go see my GYN. I went, and he said that <5 was still possible, but that he would test my FSH at the end of my hormone free week. So, I did and I am awaiting results. My question is, is it possible that I am menopausal? I know the definition is that I would be period free for 12 months, but because I don't have periods, that is hard to tell. Is checking FSH after being off the pill for 7 days enough to get an accurate reading of my situation? Also, shouldn't the bc pill keep my perimenopausal symptoms at bay? Why would I feel like they were worse all of a sudden? Last tidbit... Since going off of my pill for the week (and a couple of days... I'm going to go off of it and see what my body does) I haven't had a single night of hot flashes or major sweating. I can tell I'm sweating a little because my hair gets curly :), but nothing significant. Shouldn't it get worse when I am off the pill? I am still struggling with the other symptoms, but that one has always been a major issue, and easily reported. Your thoughts are greatly appreciated. I struggled to get much out of my doctor. He pretty much just said, "You're on the pill, so it is hard to tell. Let's check your FSH at the end of the week." And that was the end of it, until the exam and he started asking about sex and my bladder. .

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Dr David

Radiation Oncology Attending Director

Post-Doctoral Degree

53,886 satisfied customers
I'm taking utrogestan and vagufen for perimenopause, if no

I'm taking utrogestan and vagufen for perimenopause, if no period comes after 28 days and I stop for a week do I carry on taking ?JA: Have you been keeping a personal medical record?Customer: Yes and no period for 2 months but I am 51 so that's normal. But I'm confused if no withdrawal bleeding when do I start the next cycle of hirmkbesJA: Anything else in your medical history you think the doctor should know?Customer: hormones

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Dr David

Radiation Oncology Attending Director

Post-Doctoral Degree

53,886 satisfied customers
I am 49 and have always had pretty regular periods lasting 4

I am 49 and have always had pretty regular periods lasting 4 or 5 days. Last month i missed a period, and this month my period started 9 days ago and has been heavy flow. I am traveling with my daughter and I am getting worried because it is not stopping - this is day 9 and I have heavy flow (some clotting) with no sign of stopping. I am not having any particular pains or cramping. Because I am traveling I can't go see my regular doctor and I am just wondering if I need to go in to an ER or try to get some local OB appointment (I had a previous bad experience with an undiagnosed ectopic pregnancy so I am nervous there might be some problem - but then I think maybe it is just menapause .JA: Have you been keeping a personal medical record?Customer: no - sorryJA: Anything else in your medical history you think the doctor should know?Customer: no - I am generally very healthy and my periods have always been pretty regular

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Dr Josh

Doctor

B.A.M.S.

5,884 satisfied customers
I have a question for the past few weeks, my right breast is

Hi I have a question for the past few weeks , my right breast is very tender and hard. I am 50 am about 3 years ago I started getting my period every 8-10 months it's been about that amount of time now. Could it be part of my menopause ?

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Dr Josh

Doctor

B.A.M.S.

5,884 satisfied customers
Dr. Tim you had helped me with my Ultrasound reports. I have

Dr. Tim you had helped me with my Ultrasound reports. I have another question. I had told you I am 52, and have had constant light bleeding for a few months. My primary Dr. told me I was in Peri-menopause. I started getting irregular periods when I turned 48. My periods were always like clockwork, never any issues, no cysts, or fibroids til recently with 2 cysts & 2 fibroids. No STD's, (never been sexually active, by choice a Virgin) one or two yeast infections my whole life. My paps although few have always came back normal. How likely would my irregular bleeding, be caused by some sort of cancer of the pelvic regions? My Uterine lining was 12mm by the Vaginal US, and 7mm by Abdominal US. What is the normal size lining? I am just concerned about the C word. I have to make an appt. with my GYN, it will be awhile to get in to see him.

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Dr. Tim, MD

Board-Certified OB/GYN

1,344 satisfied customers
I have some questions about my Transabdominal and

I have some questions about my Transabdominal and Transvaginal reportsThe uterus is 9.1 cm x 4.2 cm x 5.2 in size. The uterus has a heterogenous appearance. There is an echogenic area along the anterior aspect of the uterus. Is that a normal size uterus? What does heterogenous appearance mean? What does echogenic area mean?The right ovary is 2 cm x 3.8 cm x 2.7 cm in size and shows no abnormalities.The left ovary is 2.8 cm x 4.5 cm x 2.4 cm in size and contains two cysts which measure 2.1 cm and 1.7 cm in size respectively. The endometrial lining is 7mm in thickness.Along the anterior body of the uterus, this is a 3.6 cm x 3.3 cm x 3.1 cm hyperechoic mass in the center of the myometrium likely representing a fibroid.Transvaginal ultrasoundEndometrial lining is 12 mm in thickness. The uterine cavity is empty.2.4 cm cyst in the right ovary. There is blood flow in the right ovary.Left ovary shows a 2.9 cm left ovarian cysts. There is blood flow in the left ovary.2 fibroids are seen. Largest of theses is about 2.9 cm in thickness which corresponds to the lesion seen on the transabdominal ultrasound.There is a second fibroid measuring 1.2 cm in thickness.Impression.Small Bilateral Ovarian cysts with no significant abnormality seen in either ovary. There is blood flow in both ovaries.2. Two fibroids are present measuring 2.9 cm & 1.3 cm in Diameter respectively.Now the reason I went in for the ultrasounds was because of constant bleeding/spotting for months. My Dr. said since I am going through Peri-menopause the fibroids would eventually shrink up, and die once I hit full Menopause. He did not seem concerned about the findings. I want to know the questions I asked above, and if the fibroids, are in a position to cause the bleeding constantly? I have had friends with huge fibroids heavily bleed during there period, but none of them have had the constant bleeding/spotting like I have. I read online if the fibroids can cause this type of bleeding, but I want to know for sure. And also if the cysts can cause this type of bleeding? With having 2 cysts & 2 fibroids are they big enough to cause this dysfunctional uterine bleeding? I have always had clockwork periods, my whole life, not spotting whatsoever. I am 52

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Dr Ted Manos

Self Employed

MD

1,182 satisfied customers
I just turned 48, my period is 5 days late and I am having

I just turned 48, my period is 5 days late and I am having indigestion, some mild stomach cramps and I did have a slight spotting about a couple weeks ago. Could I be pregnant?JA: Have you been keeping a personal medical record?Customer: YesJA: Anything else in your medical history you think the doctor should know?Customer: I do have a cyst and some fibroids, have hypothyroidism and get migraines

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31,190 satisfied customers
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