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Treatment for gonadotropin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I am 40 years old and having a strange cycle this month. I had unprotected sex with my BF on October 23 but he did not ejaculate (we are trying to conceive). My period came 8 days early, and has been very light lasting for 9 days so far. Little to no cramping. I've had a headache and increased libido like when my period usually ends, but this doesn't seem to be ending anytime soon. Light bleeding -- only enough for a pantyliner or light tampon (which has not been filled). My normal cycle -- and I am regular -- is 28-30 days. Normally I bleed for 5 days, heavy decreasing to light with moderate to severe cramping. In July I had a number of test for fertility and all came back normal and showed my uterus was healthy with no fibroids, polyps, etc. I had a vaginal ultrasound, HSG test, FSH and Estradiol blood tests and pap smear -- all normal. What is causing this strange early and lingering period???
Doctor :   Hi
User :   Hi
Doctor :   Let me read the query for a couple of minutes
Doctor :   There are different reasons for bleeding through vagina which can be light or prolonged
Doctor :   The most common reasons I would like to rule out at this time are
Doctor :   1) Pregnancy ( even though not ejaculated)
Doctor :   2) Cervicitis
Doctor :   3) Minor injury to the vaginal tract
Doctor :   For this I would rule out with tests coupled with a vaginal examination
User :   What kind of tests? Can I go to my regular doctor (who usually does my gyno exams) or should I see a gynecologist?
Doctor :   You can go to regular doctor who is experienced in Vaginal examination
Doctor :   The tests are Urine preg test at home
Doctor :   Beta HCG titries
User :   how soon can I take an hpt? I didn't think it would be accurate for at least another week? And what is cervicitis? what causes it?
Doctor :   Local injury because of sexual intercourse, tampons
Doctor :   You can take HPT with an early morning urine sample
Doctor :   even now
User :   do you think it's possible that I could be pregnant?
Doctor :   Even a preejaculatory fluid has sperm cells so it needs only one sperm to fertilize the ovum, so in that perspective even if there is no obvious ejaculation, there is chances of pregnancy because you guyz had sexual intercourse at the time of ovulation
Doctor :   Did you understand

User :   okay. I will take an hpt in the morning and if it's negative (or positive) I will make an appointment with my doctor to see about the other possible issues. Thanks! Anything else I should know?
Doctor :   At this age, I think you know that the chances of pregnancy are less than at 25's or 30's.
Doctor :   So it becomes a precious pregnancy for you
Doctor :   The quality of the egg that you release at this age is inferior too
Doctor :   But do not lose hope It is just a statement of sensitization
User :   Thanks for depressing me even more. And what does "statement of sensitization" mean?
Doctor :   I want to make you aware with such information
Doctor :   I certainly do not want to depress you
Doctor :   and that is not my intention
User :   No 40 year old woman trying to conceive who has taken lots of painful tests thinks she has the same chances of conception as a 20 year-old. Thanks for reminding me of the painful reality that I may never be able to get pregnant.
Doctor :   That is untrue that you cannot get pregnant
Doctor :   I have seen women and many celebrities who get pregnant at this age
Doctor :   What I mean the chances are lesser than that of 25
User :   Okay, I'll take the test and it will be negative like all the others and then I'll go see my doctor to find out what else is wrong with me. And celebrities get pregnant because they have millions of dollars for in vitro -- I don't.
Doctor :   I have seen normal women too
User :   I'm sorry. I know you're just trying to help. I just didn't want to take another pregnancy test until I actually thought I might be pregnant. It's too hard when it always comes up negative.
Doctor :   Ok then you can directly go for Serum HCG
User :   That's a blood test, right?
Doctor :   yes
User :   Thanks -- my time is up. You did help a lot!
Doctor :   Thank yiou
Doctor :   Bye for now
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