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Irregular menstrual bleeding. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1747 Questions
User :   I'm 23 years old, have had my period regularly since I was 12. I can recall one time when I was 16 (I was not sexually active then) when I did not have a period for 3 or 4 months. It has happened again starting around Oct. 2009. I lost my virginity on Oct. 16th to my fiancee. We used protection with spermicide. I did not have a period in October just a little spotting for a few hours. November came around, I usually have my periods at the end of the month and I did not have another one...I had spotting for a day but that was all. My fiancee was getting worried, wondering if we had a faulty condom but he didn't even ejaculate the first time. Since he was worried, I took three pregnancy tests, they were all negative. I had my normal period two days later. January came around and I had a period for 3 days (normally my periods are 5-7 days). I did not have a period all February but I had symptoms of one, such as moodiness and cramps. We had sexual intercourse on Feb. 14th, used protection. I still was cautious and took two more pregnancy tests which turned out negative. I was planning on seeing a gynocologyst for the first time to discuss birth control just in case condoms do not work, but now it is a question of what is going on with me. What do you think is going on and what sort of questions should I ask my doctor? And if I need tests done, what ones should I have?
Doctor :   hi
User :   Hello
Doctor :  
please give me sometime to read through what you have typed
User :   ok thank you
Doctor :  
as per the history you have typed the symptoms seem to be due to hormonal changes that happens when you get sexually active
Doctor :  
what other symptoms are you having?
User :   nothing else. i gained 30 pounds within the past year as well and lost 10 lbs in january.
Doctor :  
ok
User :   but everything else is fine with me, nothing hurts or bothers me
Doctor :  
are you having any excessive sweating and palpitations?
Doctor :  
is there hairloss?
User :   no not at all
Doctor :  
ok
User :   hair has grown an inch
Doctor :  
when is your appointment due with the gynecologist?
User :   i was going to make it tomorrow
Doctor :  
ok
Doctor :  
then you can discuss with her the possibilities of hormonal changes
Doctor :  
and the ovulation pattern
Doctor :  
and get these tests done: FSH, LH, Prolactin, TSH, complete blood counts
Doctor :  
and a abdominopelvic ultrasound
Doctor :  
these will guide to look for any changes that could have affected the ovulation pattern and the bleeding pattern in you
User :   ok
Doctor :   have you followed what i have said?
User :   i am copying it down
Doctor :  
ok
Doctor :  
you dont need to copy it, you can get all details back
Doctor :  
by clicking on 'accounta and settings page'
Doctor :  
and 'chat history'
User :   oh ok
Doctor :  
and export this discussion to your personal mail id
User :   alright
User :   do you know if i have to make a lot of appointments for all these different tests?
User :   or if they can all be done at once
Doctor :  
no, you dont have to make a lot of appointments
Doctor :  
these tests can be done with one time blood sample collection
User :   ok
Doctor :  
and you might need just one more appointment more to get the ultrasound examination done
User :   so it does not sound like i have some sort of cancer?
Doctor :  
and then follow-up visit to the same gyne doc.
Doctor :   no, not like that, it looks more like hormonal related problem, wait for the discussion and the test results to arrive
Doctor :  
to come to a definite conclusion
Doctor :  
do not assume any self diagnosis
User :   ok, thank you so much
Doctor :  
Is there any thing else I can help you with?
User :   no that is all :)
Doctor :   ok
User :   i can rest tonight, so can my fiancee
User :   i appreciate it :)
Doctor :   ok
Doctor :  

Please fill the feedback form say done when done
Doctor :  
you can also dicuss your problem and reports with our panel specialists
Doctor :  
for a second opinion on them
Doctor :  
and what further can be done
User :   thank you. i just filled out survey.
User :   how do i close chat?
Doctor :  
i will close it.
User :   ok
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   bye :)
Doctor :   Thanks for consulting us. Bye for now
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