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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Reasons For Menstrual Problems For 43 Year Old Lady?

Hi. Im 43 years old and have been having problems with my periods. I will be a month late, or sometimes even 3 months late. They will be heavy sometimes and light other times. This started about 3 yrs ago. My baby boys father passed away in 2004 and I stayed single for at least 8 yrs. After awhile of being alone, my family thought it was time for me to move on with my life, so I decided to start dating again. well I meet this great man and ever since we started having intercourse. All these problems started happening. Missed periods, unusual headaches, and even real bed UTIs. I have even been getting real upset over nothing. I cry almost every night over things that happened years ago. Last year I only had 6 periods. I know im not pregnant. I have taken at least 15 pregnancy test over the past three years and all negative. Sex has been painful for me, but I was assuming it was because I didn t have sex for almost 8 yrs. Just wanted to know if anyone had any advice. Thank you so much.
Wed, 16 Mar 2016
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OBGYN,  's  Response
Hi there,
Welcome to HCM,

At 43 years of age, if you have irregular periods, mood swings, painful sex ( which is probably due to vaginal dryness). The first thing to rule out would be perimenopausal symptoms.

You should get your FSH levels done and if they turn out more than 30 then it would indicate that you are in the perimenopausal phase.

The other causes of these symptoms could be thyroid problems. So, to get tested for thyroid hormones is also indicated.

I would also recommend a pelvic ultrasound to see the lining of your womb as irregular period in this age we need to rule out a condition called endometrial hyperplasia.

For the painful sex, you can use a water based lubricant, but if your FSH values come up high then local estrogen creams are also helpful.

If you are having repeated urine infection then this also would point to menopause as towards menopause due to decrease in estrogen hormone the frequency of Urine infection is more common.

Do not worry.
Hope this helps.
Regards.
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What Are The Reasons For Menstrual Problems For 43 Year Old Lady?

Hi there, Welcome to HCM, At 43 years of age, if you have irregular periods, mood swings, painful sex ( which is probably due to vaginal dryness). The first thing to rule out would be perimenopausal symptoms. You should get your FSH levels done and if they turn out more than 30 then it would indicate that you are in the perimenopausal phase. The other causes of these symptoms could be thyroid problems. So, to get tested for thyroid hormones is also indicated. I would also recommend a pelvic ultrasound to see the lining of your womb as irregular period in this age we need to rule out a condition called endometrial hyperplasia. For the painful sex, you can use a water based lubricant, but if your FSH values come up high then local estrogen creams are also helpful. If you are having repeated urine infection then this also would point to menopause as towards menopause due to decrease in estrogen hormone the frequency of Urine infection is more common. Do not worry. Hope this helps. Regards.