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Hello, I Am Writing On Behalf Of My Fiancée. She
Question: Hello,
I am writing on behalf of my fiancée. She has certain worries regarding her period and these are as follows.
She is a 32 year old female, 160 cm, 65 kilos, with regular periods and without a diagnosis which would point out problems concerning her reproductive organs. In the last 15 years all her gynecological exams were fine with sporadic findings of benign cysts or possibility of polycystic ovaries, but these issues would always go away. Her papa tests were fine with only slight issues which were resolved concerning epitel cells.
For some time now (perhaps in the last half a year or even more) she has regularly been experiencing night sweats which are periodically linked to her menstrual cycle. These night sweats occur sometimes few days before the period and sometimes on the first or second day of the period and then subside. Granted, the room where we sleep in often a bit warm and stuffy due to overheating from our flat which we cannot diminish. However, the sweats which she is experiencing during her menstrual cycle are extensive in contrast to other nights.
She has developed serious worries regarding these night sweats and it is my belief that the main worry for her is how regularly they occur, always foreshadowing or following her menstrual cycle.
She has also been noticing that her menstrual blood is more translucent and that her menstruation lasts for a shorter time and is not that abundant, lasting in earnest for one and a half or two days and than subsiding with only certain particles to be found on the pad.
Another novelty which she has remarked upon is that during ovulation small specks of blood can be found in a gooey discharge. These are miniature and miniscule, while the discharge is translucent and thick.
Due to her worries we have visited the gynecologist several times. She has undergone an ovary ct and a gynecological exam. Nothing out of the ordinary was found and the tests were ok. She has also done hormonal tests which at one point showed an elevated degree of testosterone but her physician explained that she should not worry about it. Every time the test showed evidence of normal ovulation.
If needed, I can provide these test results.
As we are planning a family soon (within the next year), and as this issue causes her distress I have concluded to contact you for advice and guidance how to proceed.
Which steps would you advise us to take, and is there reason for concern in this situation.
Thank You in advance.
I am writing on behalf of my fiancée. She has certain worries regarding her period and these are as follows.
She is a 32 year old female, 160 cm, 65 kilos, with regular periods and without a diagnosis which would point out problems concerning her reproductive organs. In the last 15 years all her gynecological exams were fine with sporadic findings of benign cysts or possibility of polycystic ovaries, but these issues would always go away. Her papa tests were fine with only slight issues which were resolved concerning epitel cells.
For some time now (perhaps in the last half a year or even more) she has regularly been experiencing night sweats which are periodically linked to her menstrual cycle. These night sweats occur sometimes few days before the period and sometimes on the first or second day of the period and then subside. Granted, the room where we sleep in often a bit warm and stuffy due to overheating from our flat which we cannot diminish. However, the sweats which she is experiencing during her menstrual cycle are extensive in contrast to other nights.
She has developed serious worries regarding these night sweats and it is my belief that the main worry for her is how regularly they occur, always foreshadowing or following her menstrual cycle.
She has also been noticing that her menstrual blood is more translucent and that her menstruation lasts for a shorter time and is not that abundant, lasting in earnest for one and a half or two days and than subsiding with only certain particles to be found on the pad.
Another novelty which she has remarked upon is that during ovulation small specks of blood can be found in a gooey discharge. These are miniature and miniscule, while the discharge is translucent and thick.
Due to her worries we have visited the gynecologist several times. She has undergone an ovary ct and a gynecological exam. Nothing out of the ordinary was found and the tests were ok. She has also done hormonal tests which at one point showed an elevated degree of testosterone but her physician explained that she should not worry about it. Every time the test showed evidence of normal ovulation.
If needed, I can provide these test results.
As we are planning a family soon (within the next year), and as this issue causes her distress I have concluded to contact you for advice and guidance how to proceed.
Which steps would you advise us to take, and is there reason for concern in this situation.
Thank You in advance.
Brief Answer:
Sweating before menstruation and the first couple of days is normal- detailed answer below
Detailed Answer:
Hello and welcome to "Ask a Doctor" service.
I carefully read your query and here is my advice:
- sweating before the menstrual periods settle may happen in some women and is normal and nothing to worry. It has to do with the last part of the luteal phase of the menstrual cycle when progesteron levels change a lot. Some women do not feel it some do, some did not have this previously and may develop it later. There is no reason to worry especially noticing the regular connection with the menstruation.
As for her periods being a little less then previously, if you know for sure she is ovulating there is no problem with this as well. We know she is ovulating because her periods are regular every month, if still evidence is needed she may have urinary LH tests in the middle of her menstrual cycle (when she thinks she should be ovulating) and this will show if she is ovulating or not, if it is negative one month it does not mean she is not ovulating at all, it has to be repeated in the next couple of months as well as it is normal for a woman to skip one month and not ovulate.
Another test to confirm ovulation is progesteron level in day 21-24 of the menstrual cycle (almost one week after her ovulation time)
Having some string of blood during the time of ovulation is normal as well so nothing to worry.
To conclude:
I see no problems with your wife at the moment related to her ability to conceive. She should try regular intercourse for 1 year before she decides to do have medical attention and tests for fertility. 80% of the couples conceive in the first year that they try and another 15 % will conceive in the next year but for peace of mind tests are done if conception is not achieved in the first year of regular intercourse.
She should start prenatal vitamins or folic acid 400-600 mcg daily as soon as possible to protect the baby's spine from deformities (routine supplement requirement in pregnancy)
There is no amount of healthy alcohol in pregnancy so she should totally avoid anything with alcohol, even wine or light drinks. Smoking affects the baby's growth. I am saying these as general healthy precautions for a healthy pregnancy.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Sweating before menstruation and the first couple of days is normal- detailed answer below
Detailed Answer:
Hello and welcome to "Ask a Doctor" service.
I carefully read your query and here is my advice:
- sweating before the menstrual periods settle may happen in some women and is normal and nothing to worry. It has to do with the last part of the luteal phase of the menstrual cycle when progesteron levels change a lot. Some women do not feel it some do, some did not have this previously and may develop it later. There is no reason to worry especially noticing the regular connection with the menstruation.
As for her periods being a little less then previously, if you know for sure she is ovulating there is no problem with this as well. We know she is ovulating because her periods are regular every month, if still evidence is needed she may have urinary LH tests in the middle of her menstrual cycle (when she thinks she should be ovulating) and this will show if she is ovulating or not, if it is negative one month it does not mean she is not ovulating at all, it has to be repeated in the next couple of months as well as it is normal for a woman to skip one month and not ovulate.
Another test to confirm ovulation is progesteron level in day 21-24 of the menstrual cycle (almost one week after her ovulation time)
Having some string of blood during the time of ovulation is normal as well so nothing to worry.
To conclude:
I see no problems with your wife at the moment related to her ability to conceive. She should try regular intercourse for 1 year before she decides to do have medical attention and tests for fertility. 80% of the couples conceive in the first year that they try and another 15 % will conceive in the next year but for peace of mind tests are done if conception is not achieved in the first year of regular intercourse.
She should start prenatal vitamins or folic acid 400-600 mcg daily as soon as possible to protect the baby's spine from deformities (routine supplement requirement in pregnancy)
There is no amount of healthy alcohol in pregnancy so she should totally avoid anything with alcohol, even wine or light drinks. Smoking affects the baby's growth. I am saying these as general healthy precautions for a healthy pregnancy.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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