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Lump in the breast with pain, absence of period for an year - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have a lump in my right breast that often causes me slight pain. My ultrasound came back negative and the surgeon said not to worry about it if it is just an indiscrete mass. Is this true?
User :   Hello?
Doctor :   hi
User :   Hi how are you
Doctor :  
yes
Doctor :  
i am fine
Doctor :  
how about u?
User :   Well I am fine just nervous
Doctor :  
ok
Doctor :   from how many days u are having this lump?
User :   I have had the lump for a month now. I had an ultrasound two days after I found it
Doctor :  
ok
Doctor :  
whats ur age?
User :   20
Doctor :  
is that swelling painful?
User :   It isn't swollen. It is slightly painful though.
Doctor :   ok

Doctor :  
is it increasing in size?
User :   I don't think so
Doctor :  
good
Doctor :  
if ultrasound is fine ,nothing to worry as such
User :   Ok.
User :   Also I have another concern. I have a problem with my menstrual cycles.
Doctor :   ok
User :   I didn't have a period for 12 months
Doctor :   ok
User :   I went to an endocrinologist and she said she didn't know why
Doctor :   ok

User :   Now I am taking OCPs and I have been menstruating for 4 weeks intermittently
Doctor :  
did she do any tests?
User :   Yes she did an LH, FSH, T3T4, PRL, and several others also, and they were all WNL
Doctor :  
thats good
User :   Yes, but what would cause me not to have a cycle for so long and now to have one for almost a month
Doctor :   have u done ultrasound abdomen?
User :   No I haven't, should I?
Doctor :   yes
User :   Ok
Doctor :  
its just to rule out any ovarian or uterine cause
User :   What could be the cause of these incidences?
Doctor :  
as all harmones are with in noormal ramge
Doctor :  
the possibilities are any anatomical cause which can be ruled out by ultrasound
Doctor :  
and other than that even too much of stress also causes amenorrhea
User :   Oh ok
User :   Ok, does that limit my chances of conception? We have been trying for almost a year
Doctor :   if ur uterus ,cervix and ovaries are normal
Doctor :  
then no problem then u will concieve
User :   Ok...do you have any advice?
Doctor :  
i want u to go for scanning of abdomen
Doctor :  
after that we can come to a decision
User :   Ok, anything else?
Doctor :   advice for getting pregnant?

User :   Yes, if you have any
Doctor :  
ask ur husband also to get sperm analysis done
User :   Ok
Doctor :  
cos problem may be from either side
User :   ok
Doctor :  
once u get ur periods regularly
Doctor :  
then have sex around 14th day of the period
Doctor :   that is ovulation time
Doctor :  
so more fertile period
Doctor :  
u there?
Doctor :  
are u there?
Doctor :  
I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
Doctor :   hi
User :   Thank you
Doctor :  
is there anything else i can help u
Doctor :   are u there?
User :   No that is all thanks
Doctor :  
Please fill the feedback form say done when done.
User :   ok thank you
Doctor :   welcome
Doctor :  
bye take care
User :   you too bye
Doctor :  
have a nice day
Doctor :  
bye
User :   Is there an OBGYN I can chat with
Doctor :   yes
User :   Can you put me in contact with him or her?
Doctor :   just a minute\
User :   Ok
Doctor :  

Doctor :  
please proceed
Doctor :  
i am a gynecologist
User :   Hello I have concerns about my menstrual irregularities and conception
Doctor :  
ok
Doctor :  
what problem?
User :   I had a 12-month period of amenorrhea last year and then I could only have a menstrual cycle using OCPs, now my period has been going on for 4 weeks
Doctor :   ok

Doctor :  
have u checked ur harmonal levels?
User :   Yes and the endocrinologist said they were WNL
Doctor :  
like estrogen,progesterone,lh fsh,prolactin.thyroid harmone profile?
User :   Yes all of those were WNL if I had just had a period but at the time I hadn't had a period for a year
Doctor :  
i want u to do the tests again
User :   Ok
Doctor :  
as u are tellin that after taking ocps ur periods are regular
Doctor :  
it indicates harmonal imbalance
User :   At first the periods were regular but now I am having a period for 4 weeks
Doctor :  
ocps are nothing but harmones
User :   I understand that, I needed estrogen which is why the doctor put me on OCPs
Doctor :   not only estrogen even progesterone also
Doctor :  
it is with drawl of progesterone which is more important for periods
User :   Yes I understand, but she said my estrogen was the problem because she first gave me just progesterone and when I was taken off the progesterone I didn
User :   didn't have a period, then she started OCPs
Doctor :  
oh ok
Doctor :  
then how did she tell ur harmonal levels are normal?
User :   She said that they were WNL and then gave me progesterone because I still didn't have a period
Doctor :  
ok
Doctor :  
finally it is harmonal imbalance which is making ur menstruation irregular
Doctor :  
now u are getting periods for every 4 weeks
User :   No I have been menstruating for 4 weeks without stopping
Doctor :  
ohh ok
Doctor :  
what is the amount?
User :   Not very much each day
User :   I fill about one pad per day
Doctor :   from how many days u are taking ocps
User :   I have been taking OCPs since June; I started a new pack of OCPs 10 days ago
Doctor :   ocps are harmones so,this is side effects of taking ocps
User :   Ok...is that normal?
Doctor :  
u if the amount of bleed is less then nothing to worry
Doctor :  
if it is huge..then u need change in the dosage
User :   What about conception...? My husband and I have been trying for a year
Doctor :   as ur estrogen levels were low

Doctor :  
may be u had this problem before
Doctor :   now as u are on pills ..
User :   I don't want to be on the pills but I don't ovulate or have a period without them
Doctor :  
chances of being pregnant are increased
Doctor :  
no other go
Doctor :  
u have to take them
User :   how can I get pregnant if I am on OCPs?
Doctor :   no no
Doctor :  
once ur harmonal levels are normal
Doctor :  
we will induv=ce ovulation by clomiphene citrate
User :   How do I know when they are normalized?
Doctor :   check the harmonal profile once again
User :   Ok, then they induce ovulation by clomiphene citrate
Doctor :   yes
Doctor :   clomiphene is an anti estrogen which will induce ovulation

User :   ok.
Doctor :   and u can do this once ur periods are regular which is also an indicator of normal harmone levels
User :   So if I get the tests done again wouldn't my estrogen level be altered because I am taking OCPs
Doctor :  
yes
Doctor :   u are taking ocps to make ur harmonal levels normal
Doctor :  
its supplementation
Doctor :  
that is what is required right?u want ur estrogen to be normal
User :   Yes
Doctor :   i want u to go for harmonal analysis once again
User :   Ok
User :   Also I found a lump in my breast last month and received a negative ultrasound result. Is it possible that my OCPs caused the lump in my breast?
Doctor :   ok
Doctor :  
there are possiblities

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