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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Delayed Periods Along With Constipation And Abdominal Distention?

Background: bio-female, 35 y/o, healthy, non smoker, non drinker, 5 5 , 140lbs (trying to lose a bit of weight), physically fairly active. No children, always had a very regular menstrual cycle, could predict it to the minute ever since starting my periods when I was about 11. I started to experience quite bad PMS (which I think was more like PMDD) over the past year and it was ruining my life. Decided to look at options to try to reduce the severity of it and hopefully also stop my periods. I am not sexually active due to being transgender (not on hormones) and I do not plan to have kids so the whole period thing on top of having all the PMS and extreme tiredness etc for 3 weeks of the month was becoming just too much of an issue. Explained all this to my GP (who is wonderful) and she gave me Cerazette, the mini-pill, 75mg a day. Apparently the best chance of stopping periods etc. I started in on 25 May 2017. Starting 10th June I had a full normal period (JUNE), so I m presuming I started the pill too late to have affected ovulation that month, no big deal. I was due to start my period on 9th July and nothing came - hooray I thought. But then my usual ovulation time hit (17th ish) and from then I have been bleeding constantly day and night, not like a period, quite light but bright red .. no flow of the period as in how it starts light, gets heavier, and gets light again. This is just the same the whole time. I also am SO BLOATED, I feel like I am 9 months pregnant, my breasts are huge and my stomach is distended and I generally feel terribly out of sorts physically. I am also having constipation. I m the kind of person who is very in tune with their body so I can pretty much tell this is something hormonal Please can someone help me understand what is going on with my body right now and advise me whether or not I should persevere? Is this a normal settling down period for Cerazette? Will I be able to de-bloat ever again? I m on a diet but don t seem to be losing weight but hard to tell under all this bloat. Will the bleeding stop and balance out? On the plus side, I haven t had any mood issues or PMS stuff since I came on it so that is GREAT but I just really am not enjoying this feeling in my body. I pray this is temporary, could someone assure me how likely that is and it s worth carrying on? Other info: I take Venlafaxine & Escitalopram for general anxiety and OCD/BDD but have done so for 15 years.
Wed, 19 Sep 2018
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General & Family Physician 's  Response
Hi,

The absence of menses narrate possible menopausal changes or dietary factors leading to hormone imbalance in an active effort to loss weight. The bloating is likely due to intestine indigestion. Diet precautions, high fiber, bulk laxatives will support great.

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

Regards,
Dr. Purva Patel, General & Family Physician
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What Causes Delayed Periods Along With Constipation And Abdominal Distention?

Hi, The absence of menses narrate possible menopausal changes or dietary factors leading to hormone imbalance in an active effort to loss weight. The bloating is likely due to intestine indigestion. Diet precautions, high fiber, bulk laxatives will support great. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Purva Patel, General & Family Physician