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No period since two years, trying to conceive. Diagnosed water in uterus. Advise?

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Internal Medicine Specialist
Practicing since : 1998
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Well i havent had a period in two years they just stopped when i went to the doctor he said i had water on my uterus and thats what caused it to stop now i been trying to concieve and nothing happen i dont know whats going on
Posted Tue, 22 May 2012 in Getting Pregnant
Answered by Dr. Jasvinder Singh 7 hours later
Thanks for posting your query.

It is not normal to have amenorrhea (absence of menstruation ) for two years and the cause needs to be found at the earliest. Water in uterus can be due to fluid inside the uterus. If the fluid was seen inside the center of your uterus there may be some cervical changes. PID (pelvic inflammatory disease) can also cause scarring around the fallopian tubes and blockage of the tubes. This can lead to swelling inside the fallopian tubes. The term for this is "hydrosalpingx" and it can cause infertility.

Other than that polycystic ovarian disease which can cause both amenorrhea and infertility should also be checked.

Pelvic inflammatory disease is predominantly caused by Chlamydia and gonorrhea. So it is mandatory to get a pelvic examination and cervical swab samples from a gynecologist to find out if Chlamydia is responsible for it or some other STD(sexually transmitted disease) is causing it.

Moreover to rule out secondary amenorrhea (absence of menstruation), Blood tests may be ordered to examine the levels of ovarian, pituitary, and thyroid hormones. Imaging studies, such as ultrasound and CT or MRI scanning may also be needed.

Causes of secondary amenorrhea include stress and anxiety, malnutrition, depression, overexercising, sudden weight loss or gain (obesity),thyroid disorders and hormonal imbalance due to polycystic ovarian syndrome(PCOS).

Sometimes tumors of the ovaries and brain may also cause absence of menstruation. All these causes need to be ruled out by the above mentioned investigations.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
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