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No menstruation - 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 : 2008
Answered : 3583 Questions
User :   hi there
i had an abortion in august 18 of 2009. I was 5 weeks along. I have not had a period since, but i did ovulate on Sept 6 2009 and also on Oct 29 2009. In mid-october i went for hormone testing and it stated that my prolactin levels were high. I retested shortly after and they went back to normal. All my other hormone levels are normal. I am wondering why i am ovulating and not bleeding. What can i do or take to start my period.

Doctor :   Let me read it
User :   ok
Doctor :  
I have to ask you few questions, shall I proceed?
User :   sure
Doctor :  
What is your age?
User :   29
Doctor :  
How did you test for ovulation on those two times?
User :   i used an ovulation kit that i bought from the drug store
Doctor :   May I know what were the prolactin hormone levels?

Doctor :  
each time
User :   they were at 65 when i tested on oct 16, then when i tested on oct 26 they went down to 15
Doctor :  
Ok
Doctor :  
When was your last menstrual period?
User :   june 22 2009
User :   i am a regular person very regular
User :   i had gotten pregnant july 5 2009
Doctor :  
Ok
User :   when i checked my ovulation on oct 29 2009 at 130pm, i had sex roughly 11 hours later
User :   i checked with a home pregnancy test today, nov 15 2009, and its negative
Doctor :  
Ok good
User :   however i am feeling some symptoms of something. not sure if its pms or pregnancy i am depressed, emotional bloating angry, my breasts were sore but not anymore, very very tired
User :   i am trying to have a baby
User :   this time im keeping it
Doctor :  
Oh is it
Doctor :  
If you are ovulating that is a gooid sign of pregnancy
Doctor :  
sorry good sign that you shall be pregnant at any time
Doctor :  
Menstruation is not required
Doctor :  
It is just a rough measure when do you ovulate
User :   can u ovulate and not have a period?
Doctor :  
Thereotically yes
User :   should the ovulation kits at the drug store be fairly accurate since the procedure? my hormones are ok now
Doctor :   You have to make intercourse at that particular time of ovulation
Doctor :  
If the kit detect you are ovulating then make regular intercourse during the days
Doctor :  
This increases the chances of pregnancy
User :   ok
Doctor :  
Actually the chances of pregnancy increase during the Day 12 to Day 18 of the menstrual cycle
Doctor :  
Day 1 being the first day of period
User :   well i dont have a period so i dont know
Doctor :  
since you do not have period
User :   i guess i will have to test every single day
Doctor :  
you cannot make a note of Day 1
User :   my ovulation
Doctor :   Not required

Doctor :  
I will tell you one simple way to avoid and predict the ovulation
User :   ok
Doctor :  
Roughly the ovulation occurs once in a month
User :   yup
Doctor :  
The days before the ovulation and after the ovulation are the best times for intercourse and happen a pregnancy
Doctor :   So if you have ovulated at Oct 29th , and Sep 6th
User :   yeah
Doctor :  
There is a gap of 45 days
User :   yes but remember my prolactin levels were up
User :   causing infertility
User :   at the time
User :   this was mid oct
Doctor :  
Once in a while the prolactin levels shoot up
Doctor :  
they do not have much importance
User :   esp after pregnancy i bet
Doctor :  
In fact what is important is yoru LH and FSH levels
User :   those were normal
Doctor :   Ok
User :   i remember the dr saying
Doctor :  
What was the doctor's opinion about yur absence of menstruation?
Doctor :  
What about yoru Oestrogen and progesterone levels?
User :   now the doctor checked estrogen levels and they are fine, the progesterone levels were not checked but when i went back to the doctor to ask why they were not checked, he said that since the LH and FSH levels are normal, progesterone should be fine. does that sound right to u?
Doctor :  
Yes
Doctor :  
What was the doctor's opinion about yur absence of menstruation?
User :   my doctor told me that absence of menstruation is normal for three months after abortion. but now i am approaching three month mark on nov 18 and still no period
User :   i have an appt with him on nov 18 to discuss this, but i am pulling my hair with frustration and needed to talk to someone now
User :   do u think that my absence of period has to do with my uterine lining?
Doctor :   Your doctor is absolutely right in saying that the menstruation does not happen for next 3 to 4 months after aboriton
Doctor :  
If you do not have menstruation in the month of Decemeber then you should be concerned about
User :   oh and i forgot to add, i feel twinges in my uterus and occassional cramps to
Doctor :  
and it should ring you that you should see thd doctro
Doctor :  
Since the Estrogen, LH and FSH levels are normal there is no hormonal abnormality as such
User :   and ovulation is a good sign too right
Doctor :  
Coming to the Uterine lining, it can be judged afgter an Ultrasound scan of the abdomen only when you do not have menstruation even after Novemeber
Doctor :  
I said so, that ovulation is good sign
Doctor :  
and the hormones are good
Doctor :   You should not be worried about
User :   so what would be the cause of no bleeding, does it have to do with the uterine lining?
Doctor :   Uterine lining is bit disturbed after an abortion
Doctor :  
it takes 3 to 4 months to restore in itself and hence the problem with menstruation
Doctor :  
Just wait and watch is the thing, Regular intercourse is next best thing.
User :   so the lining could be interfering with the period coming
User :   does that mean the lining is too thick or too thin?
Doctor :   The lining increases increases after the period called proliferative state
Doctor :  
the lining stops after ovulation and secretes
Doctor :  
and finally shed off to cause the period
Doctor :  
that is what is seen during period
User :   so as it stands, my lining may be thin?
Doctor :  
Yes
User :   to have a period?
Doctor :  
it needs time to restore
Doctor :  
the hormones oestrogen and progesterone help in restoring that back
User :   have u heard of the drug provera?
Doctor :  
Since these hormones are normal in the level, so you have to be assured about the increase in the lining
Doctor :  
Yes
Doctor :  
Tat is progesterone supplement
User :   aka medroxyprogesterone
Doctor :  
called Medroxyprogesterone
Doctor :  
This is given sometimes to see if the period happens with the supplements
User :   would it be ok to take that to start my period
User :   seeing that nothing else is wrong with me
Doctor :   You do not actually need it now as the progesterone levels are ok.
Doctor :  
But you can ask yur doctor about the same as there is no harm
User :   i am glad everything is normal, and i ovulate, but it would be nice to have a period too. i thought the provera would help
User :   if it looks like my lining is thin, what can i take to build it up?
Doctor :   You do not have to do it actively it happens by itself

Doctor :  
That is why I told you to wait and watch manner
User :   i have heard baby aspirin helps build it
Doctor :   You do not need aspirin

User :   ok
Doctor :  
Do not take it
User :   ok
Doctor :  
Other medicaitons shall delay the actual period
Doctor :  
As said progesterone supplements are fine but to be taken only after waiting few more weeks
Doctor :  
even though you do not get a period
Doctor :  
I am sure you have the period soon
User :   ok
Doctor :  
Since everything is normal
Doctor :  
and the uterine lining is not yet prepared for it
User :   do u think i tested too early for pregnancy? is there a chance i could be pregnant?
Doctor :   No any missed period, the test should start with Home pregnancy test

Doctor :  
You have done a right thing
Doctor :   Usually doctors advice a person to wait for 3 months to plan for next pregnancy after an abortion
Doctor :  
since it is the time they get back the menstruation
User :   its been 16 days now, it should be positive if i was pregnant by 16 days?
Doctor :  
and they feel good about it
Doctor :  
as they can rightly know the exact period of ovulation
Doctor :   Please give me a minute

User :   when is it a good time to check for pregnancy? I checked 16 days after the ovulation. is that too early?
User :   ok
Doctor :  
Yes
Doctor :  
I am back
Doctor :  
I think it is right time to check for pregnancy after ovualtion
User :   so did i check to early or was the right time?
Doctor :  
but were you on regular intercourse two days before the ovulation
Doctor :   and after the ovulation?
Doctor :   The right time to check for pregnancy if you have a proper ovulation and regular intercourse is after two weeks
User :   no after returning from the dr and he gave me the normal prolactin results. i came home and just randomly checked my ovulation with the kit
User :   i was surprised to see a positive
User :   we made love 11 hours later
User :   i checked the ovulation kit the next morning and it stated negative
User :   it wasnt planned because i just assumed my prolactin levels were too high to make me ovulate
User :   i didnt expect them to go down fast
Doctor :   Ok

Doctor :  
No worries
User :   maybe the timing was missed?
Doctor :  
Even if the egg meets the sperm, the result is called zygot
User :   the kit gives u the two most fertile days to conceive
Doctor :  
the Uterus is not prepared to receive the zygote and then attach to its lining
Doctor :  
Yes
User :   because the lining is thin?
Doctor :  
Yes
User :   so even though ovulation has occurred maybe pregnancy didnt happen because the lining is thin?
Doctor :  
Yes
User :   is that different from a blighted ovum?
Doctor :  
Blighted ovum is a very different thing
User :   ok

Doctor :  
an egg is fertilised by a sperm, the cells begin dividing. some develop in baby and some into the
User :   im back
Doctor :   Hi
User :   are u the same dr?
Doctor :  
Ok we are chatting about blighted ovum
User :   oh good
Doctor :  
and your condition is not blighted ovum
User :   i wanted to add that my abortion procedure was a success
User :   no complications
Doctor :   Wonderful

User :   so i can say i can rule out any concerns there
Doctor :  
Absolutely
User :   my best bet then is to get a rx for medroxyprogestone, and just hang on to the rx for a few weeks
User :   then perhaps go and get an ultrasound for my uterus
Doctor :  
May I know your name?
User :   XXXXXXXX
Doctor :   Ok AAAAAAA In my opinion you just have to wait for couple of more weeks and then can just ask your doctor for Provera supplements.
Doctor :  
You may then get the Ultrasound scan to look for Uterus lining
User :   yes that sounds good
Doctor :  
after taking progesterone
Doctor :  
supplements ( provera )
User :   so take the provera and then go for an ultrasound?
Doctor :  
I feel you are just doing fine
Doctor :  
and you need more time
Doctor :  
Yes
User :   thank god
Doctor :  
Hey, would you like to get a call or Email from our panel of Gynecologist in the form of Second opinion
Doctor :   This is a second opinion service that we recently launched
User :   sure
User :   is it free?
Doctor :  
I am sorry it is not free
Doctor :  
WWW.WWWW.WW User :   how much?
Doctor :  
You can check it out at that link
User :   where are u located?
Doctor :  
See the credentials of the Doctor
Doctor :  
before you choose to
Doctor :  
Bangalore, India
User :   ok
User :   will a past abortion affect fertility ?
Doctor :   No
Doctor :  
Did you see the link
Doctor :  
and formed an opinion?
User :   its broken
User :   i cant click on it
Doctor :  
WWW.WWWW.WW User :   shall i look now?
Doctor :  
and click on the Gynecologist part of it
Doctor :  
Yes
User :   ok
User :   will u be here or gone in the meantime?
Doctor :  
Dr.Chetna Jain
Doctor :  
I will be here
Doctor :  
:) do not worry
User :   ok thanks :)
User :   let me look
User :   i cant talk with her live like i do with u
Doctor :  
but over phone
Doctor :  
You may choose email option too
Doctor :  
You can send her the complete query
Doctor :  
and I shall assist her in giving more history
Doctor :  
and you will get a response in 24 hours
User :   ok. do u work closely with her?
Doctor :  
Yes
User :   ok
User :   i will type my query to her, it will take me some time to give her the details
Doctor :  
Do not worry I assist her in giving her more details since I had a prolonged chat
User :   ok then what should i tell her?
Doctor :   Say about that your menstrual periods were regular earlier to June, and how many days, about the abortion and your ovualtion tests at two times and then your values of hormones

Doctor :  
Finally your query saying no menstruation and next thing to do to become pregnant
User :   ok
Doctor :  
Were you getting normal regular periods before June 2009?
Doctor :  
If so what is the length of the cycle? Is it normal 28 day or longer or shorter?
User :   oh they were between 27-30 days cycle
User :   mostly 27 days
Doctor :  
Were they regular then ?
User :   yes
Doctor :  
Ok, wonderful
User :   no matter how stressed i was or how much weight i lost or gained or how much i travelled, they were very regular
Doctor :  
Very good,
Doctor :  
This is pretty good
Doctor :  
Then this is better
User :   so i paid the specialist her fee, but i didnt get the chance to give my query
User :   it just says the dr will contact u by email
Doctor :  
Ok
User :   are u able to fill her in?
Doctor :   No worry
Doctor :  
I shall send your history and you will receive the answer within 24 hours from now
Doctor :  
She is a busy practitioner but very compassionate doctor
User :   i have no other medical issues, i have some asthma at times. i take no medication
Doctor :   Ok
User :   i dont smoke/hardly drink/no drugs
Doctor :  
Previous pregnancies or abortions?
Doctor :  
except for the last in July
User :   i had one done 13 years ago
User :   was too young for kids
Doctor :  
Ok
Doctor :  
Got it
User :   i dont think that should affect?
Doctor :  
Yes
Doctor :  
It does not affect
User :   do u know of any natural remedies to bring on period?
Doctor :   AAAAAAA I know you are very anxious about your periods but I prefer to give you the best advice in best interest of your health
User :   ok
Doctor :   So please do not think about the herbal remedies
User :   ok
User :   when i see the doctor on wed, would u like me to email u and let u know what he said?
Doctor :  
That is even good
Doctor :  
you can do mail me at YYYY@YYYY
Doctor :  
Did you take a note of the email ID
Doctor :   You shall receive an answer from Dr.xxxxxx within next 24 hours
Doctor :  
and I shall give her your details what she needs
User :   ok
User :   what is your name?
Doctor :  
I am Dr.xxxxxx
User :   ok
Doctor :  
Is there anything else I can help you with?
User :   no it was a great pleasure speaking to u
Doctor :  
Thanks, Please fill the feedback form say done.
User :   ok
Doctor :  
It was nice interacting with you. Thanks for consulting me.
Doctor :  
Bye for now.
Doctor :  
I look forward you get pregnant soon
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Diseases and Conditions
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