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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does The Prolonged Usage Of Birth Control Pills Affect Lactation?

Hi. I m approaching 40, and have always had very regular periods. I ve been on and off birth control pills for more than 20 years. After my third son, 19 months ago, I started back up with the pill, but it was interfering with my milk production, so, I have been off the pill for almost a year. Up until March, I have been every 28 days with 4 to 5 days of normal bleeding. At the end of March, I started my period and it hasn t stopped. I convinced myself the bleeding was because I was pre-menopausal, but in May, I finally went to my gynecologist. I had an endometrial biopsy which he said was suggestive of polyps and out me back on the pill which he said should stop the bleeding. It didn t. I requested a CBC, which showed I was anemic, but the office never called me to discuss an iron supplement, or the results (the lab s report was posted to my patient portal so that is how I found out). I went back in June, and he said it my be a cervical polyp . I requested a pap test since it has been more than two years (I tested hpv negative, so he didn t feel it was necessary, but I wanted to be sure). So now he wants me to have a d & c with hysterscopy to find the polyp. I have not received my pap results and it s been more than 2 weeks. The bleeding is getting heavier day by day, and I m exhausted. I have back and abdominal pain more often than not. Now I am passing large clots and what appears to be tissue. None of this is normal for me, but my doctor doesn t seem concerned at all. I feel like a d & c is a temporary solution. Should I have my hormone levels checked? And, should I seek a second opinion? Thank you in advance.
Thu, 31 Oct 2019
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General & Family Physician 's  Response
Hi,

Yes, you should try and have a second opinion, you may also want to do an ultrasound to see if there are any changes that may be causing the abnormally heavy bleeding. They should provide the pap smear result, if there is no success when you contact the office then you may need to contact the lab directly if this is an option.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Michelle Gibson James, General & Family Physician
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Does The Prolonged Usage Of Birth Control Pills Affect Lactation?

Hi, Yes, you should try and have a second opinion, you may also want to do an ultrasound to see if there are any changes that may be causing the abnormally heavy bleeding. They should provide the pap smear result, if there is no success when you contact the office then you may need to contact the lab directly if this is an option. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Michelle Gibson James, General & Family Physician