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Irregular period. Type 1 diabetic. Causes, Get pregnant?

Hi, my name is Cassandra and I am 16, almost 17 years old.
I have an extremely irregular period that comes MONTHS apart... It could be anywhere between 2-6 months apart. I believe my last one was either November or December 2012 and it is now APRIL 2013! I'm worried because I've heard and read many different possible causes. I just want to know if there is any possible reasoning for this... I want to have children eventually but I'm extremely nervous that what I'm experiencing won't allow me to.
I am also a type 1 diabetic, since september 2009.
Asked On : Tue, 16 Apr 2013
Answers:  2 Views:  34
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OBGYN 's  Response
Dear Cassandra, I hope these words will relieve some of your nervousness and be usefull to you:
Abnormal blood sugar levels can cause your cycles to be irregular and consequently may affect your chances of getting pregnant, but the good thing is, once you have optimum blood sugar controll, you are as normal individuals.
By optimum blood sugar controll I mean fasting levels not more than 90 mg/dl and the 2 hours postprandial not more than 140 mg/ dl. ( you can divide by 18 to convert to mm/l ), and the HbA1C not more than 6.
If you are having irregular cycles inspite of optimum blood sugar controll, there are many other causes and the first thing to start with is to measure these hormone levels at the second day of menstruation (either spontaneous or induced by drugs): FSH, LH, TSH, Prolactin.
Finally loosing some weigh and optimizing your BMI (Body Mass Index) may be of very good help.
I wish you best of luck Cassandra..
Dr. Ahmed Bahaa.
Answered: Tue, 16 Apr 2013
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General & Family Physician Dr. Luchuo Engelbert Bain's  Response
Hi and thanks for the query,
Irregular menses is a frequent condition in women, but it becomes preoccupying if it is repetitive and stays for months apart. A few things must be considered in your case. The commonest cause of long lasting periods which must always be excluded is a possibility of a pregnancy. It would be worthwhile to do a pregnancy test if you have been sexually active lately. If not, other medical conditions are considered.
The problems can either arise at the level of the pituitary gland that secretes follicule stimulating hormone which eventually acts at the level of the ovaries, thyroid hormone under or over secretion, uterine malformations, ovarian problems like polycystic ovarian disease and some abnormalities like the imperforate hymen or the transverse vaginal septum. My suggestion is actually booking an appointment with a gynecologist for a proper evaluation.
Thanks and hope this helps,
Luchuo, MD.
Answered: Tue, 16 Apr 2013
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