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What Causes Pituitary Macroadenoma, Autoimmune Disorder, Thyroid, Sjogren's Syndrome And Irregular Periods?

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Posted on Wed, 16 Sep 2015
Question: Hi I am XXXX and I am suffering from pituitary macro adenoma, auto immune disorder, thyroid, sjogron syndrome and highly irregular periods. I am 40 yrs of age and have two children. I have been operated and taken cyber knife ( radiation) too for pituitary adenoma my tumour was 22mm. My periods do not come on time at all until I take meprate 10mg for 10 days. I have more of side effects from this medicine than benefits as it only helps me to get periods. But now I don't want to continue it anymore. My weight was shooting, one leg numbness, back pain etc. please suggest me is there any side effects of not taking the tablets. As I know without taking it will create problems in periods but I don't want to carry on. Last month my periods came naturally in spotting and lasted for 4 days. What is my future? But this month again it's not coming. Once someone told me to operate and take out uterus. But I want to wait for menopause naturally. I stopped taking the pills for a month and I look more happy and my weight issue was solved but no periods on its own. Do I really need it now as I am happy without it? Please advise
doctor
Answered by Dr. Dariush Saghafi (39 minutes later)
Brief Answer:
May still take out uterus or consider ablation

Detailed Answer:
Good morning Ms. XXXX-

I am very sorry that you're situation requires that you be this uncomfortable and at your young age I completely understand how you might feel having to deal with such problems for another 15+ years.

When the hysterectomy was suggested I am sure it was also with the idea that your ovaries be left behind which is commonly done. Therefore, you still may be able to gain the advantage of having no periods without the inconvenience of dealing with a reactive or unpredictable uterus.

You could also talk with an OB/GYN specialist who can suggest other measures that can prevent the uterus from bleeding anymore while still leaving it intact as well as not touching the ovaries such as the procedure of ablation which essentially thermally disintegrates the lining of the uterus so that it can no longer proliferate and slough off which is what a period basically amounts to. And there may be other options that the OB/GYN may suggest if leaving the uterus intact is your desire.

I hope these answers address the question sufficiently and if so would appreciate your considering rating this interaction as a high star event with some brief written feedback. Also, in view of end of the month tallies and credits I'd very much appreciate if you'd CLOSE THE QUERY at this time (assuming I've provided with you enough information to get things under way for you to discuss with your doctor some options). We can always have more discussions under a separate thread at a later date if you so desire.

Please send me your future questions to: bit.ly/drdariushsaghafi

It would be honor to answer you quickly and comprehensively.

This query has required a total of 10 minutes of physician specific time to read, research, and compile a return envoy to the patient.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2473 Questions

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What Causes Pituitary Macroadenoma, Autoimmune Disorder, Thyroid, Sjogren's Syndrome And Irregular Periods?

Brief Answer: May still take out uterus or consider ablation Detailed Answer: Good morning Ms. XXXX- I am very sorry that you're situation requires that you be this uncomfortable and at your young age I completely understand how you might feel having to deal with such problems for another 15+ years. When the hysterectomy was suggested I am sure it was also with the idea that your ovaries be left behind which is commonly done. Therefore, you still may be able to gain the advantage of having no periods without the inconvenience of dealing with a reactive or unpredictable uterus. You could also talk with an OB/GYN specialist who can suggest other measures that can prevent the uterus from bleeding anymore while still leaving it intact as well as not touching the ovaries such as the procedure of ablation which essentially thermally disintegrates the lining of the uterus so that it can no longer proliferate and slough off which is what a period basically amounts to. And there may be other options that the OB/GYN may suggest if leaving the uterus intact is your desire. I hope these answers address the question sufficiently and if so would appreciate your considering rating this interaction as a high star event with some brief written feedback. Also, in view of end of the month tallies and credits I'd very much appreciate if you'd CLOSE THE QUERY at this time (assuming I've provided with you enough information to get things under way for you to discuss with your doctor some options). We can always have more discussions under a separate thread at a later date if you so desire. Please send me your future questions to: bit.ly/drdariushsaghafi It would be honor to answer you quickly and comprehensively. This query has required a total of 10 minutes of physician specific time to read, research, and compile a return envoy to the patient.