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Suffering from Dysfunctional uterine bleeding - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   Hi, my last menstrual period was Jan 4. I have regular periods with a 25 day cycle and it lasts for 6 days. I did two urine pregnancy tets and both were negative. Last week I also got a transabdominal/vaginal scan which was negative. I have white odourless discharge, frequent urination but no other pregnancy symptoms. Can you help please?
Doctor :   Hi
User :   hello
User :   hi
Doctor :   let me read your query
User :   thx
Doctor :   ok
Doctor :   in that case, the chances of pregnancy are nill
User :   oops...
Doctor :   and probably u have a missed period
User :   yes i close to 50 days since my last period
User :   i had a pap smear test along with my annual health check in dec...the report said i had mild infection and my gyn did not prescribe any medicines
User :   also in Jan my periods lasted until 12 days from 4th to around 15th much longer than my usual 6 days...
Doctor :   ok
User :   what could be the possible reasons for this mssed period? I am 36 yrs old
Doctor :   have you checked your Blood HCG levels and LH and FSH levels ?
User :   i dont think this wa done along with the health package i am not sure
Doctor :   ok
User :   other than the missed period and white discharge i do not have any other pain, discomfort etc
Doctor :   let me go thru the whole history within 2 minutes
User :   ok
Doctor :   you earlier mentioned that your period earlier in jan was for 6 days
Doctor :   is this right ?
User :   normally i have a periods for 6 days in Jan it was for 12 days
Doctor :   ok
Doctor :   have you had such prior episodes earlier ?
Doctor :   such longer periods ?
User :   yeah i think its hereditary...
User :   but its regular and i have healthy blood count...
Doctor :   did the ultrasound detect any fibroids ?
User :   no nothing so far...i had one regular u/s in dec which was normal and last week to check for pregnancy...
User :   last weeks report says anteverted uterus and endometrium thickness of 13 mm
Doctor :   may i know your age ?
User :   36 yrs
Doctor :   what were the tests done so far of the blood?
Doctor :   Did you get tested for FSH, LH, estrogen and progesterone levels
User :   glucose (fasting and post), lipid profile, serum calcium, esr, complte blood count
User :   hbs and hiv as well...
Doctor :   no, they are not in the tests done
User :   this is part of the master health check package
Doctor :   ok
Doctor :   You will have to get the tests that i mentioned
User :   the hormone tests?
Doctor :   yes
User :   k any guesses wht it could be? is it some infection? or other reasons?
Doctor :   they will give a clear view about your menstrual cycle and ovarian function
Doctor :   this is not a infection
Doctor :   this is probably a hormonal or endocrine disorder
User :   Ok, i am a bit disappointed i am not preganant and glad if its not an infection!
User :   in a hormone related problem will there be no other symptoms?
Doctor :   this is not a infection
Doctor :   no , the main symptoms would be irregular periods , missed periods , etc
Doctor :   these are symptoms in endocrine and ovarian disorders
User :   but this is my first missed periods since i started my cycle
Doctor :   ok
Doctor :   You can also do a blood pregnancy test, that checks for hCG levels
Doctor :   in the blood
User :   well if both u/s and urine test are negative, the chances may be low ight
User :   right?
Doctor :   yes,
User :   i hope its not menopause...!!! good prospect since we plan to start our family now...
Doctor :   but since you had a irregular peiod of 12 days in jan , the cycle calculation may be incorrect
Doctor :   the blood hormone tests will give a idea about that as well
User :   k but even by tht count i should have started my periods some time by mid Feb right?
Doctor :   yes thats right
Doctor :   you should have had a period by 18th atleast
User :   I am finding it strange since i have no negative symptoms!!
User :   a little worried as well...
Doctor :   there is no need to be worried
Doctor :   this is a common occurance at the age of 36
Doctor :   and when treated with hormone supplements, this can be taken care off
User :   oh what is it called in medical terms?
User :   will it affect an future plans to start a family
Doctor :   this is DUB, dysfunctional uterine bleeding
Doctor :   and it does not affect conception and childbearing, if the cause is treated effectively
User :   ok thanks docto thats reassuring...
Doctor :   you are welcome
User :   but you are quite sure its not an infection right
Doctor :   yes this is not a infectioon 200%
User :   thank you!
Doctor :   Do u have any other doubts ?
Doctor :   You are most welcome
User :   k i guess i need to get the tests and then figure out the next steps based on the results i suppose..
Doctor :   yes that will help
User :   thank thats all i had...thanks for your time and the comforting advice!
Doctor :   you are most welcome
Doctor :   take care and have a good night
Doctor :   bye for now
User :   thanks bye
Doctor :   bye

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