A Report From a Global Alliance to Improve Outcomes in Acne. Reprint requests: Ted Schwarz, Laboratoires Galderma S. A., Tour Europlaza- La Defense 4, 2. Andre Prothin, 9. La Defense, Cedex, France.
Ask The Expert ? As in no periods and spotting when you lift something heavy or have sexual intercourse? Answer: No it cannot. Spotting after intercourse needs further investigation. What are the pregnancy signs? Breast tenderness? That can occur in perimenopause especially with high estrogen levels as in anovulatory cycles. ![]() Acetaminophen; butalbital; caffeine is contraindicated in patients with acetaminophen hypersensitivity, barbiturate hypersensitivity, or hypersensitivity to any of. Most patients with acne benefit from the use of a retinoid, whether a topical agent as part of conventional therapy or oral isotretinoin for treatment-resistant cases. Tubaligation has nothing to do with perimenopausal signs and symptoms. Question: I am 5. For the last 5 years I have irregular bleeding: from 6- 7 weeks intervals to 1. Volume of bleeding is less and less but for sometimes the periods getting longer, 7- 8 days. I had minor hot flashes 6 - 7 years ago. What are my chances to have cancer? Answer: The changes to have cancer are low. Only 1 in 1. 00. 0 women per year will have endometrial cancer. Your history is one of perimenopausal bleeding pattern. But for certainty it is wise to perform an endometrial biopsy especially because of the intermenstrual spotting. Question: My FSH blood test was 6. Is there any other medical condition that could make my FSH blood test high or is it just strictly menopause? Answer: It is the main sign of ovarian failure. There are no other conditions with such high FSH. Question: I am 4. But I would like to hear it from an expert that this does happen to others. What do you think? Answer: The amount of blood loss increase with aging. As long as no anemia occurs, there is no reason for concern. Question: I am a 3. I had a hysterectomy when I was the age of 2. I have been experiencing some problems lately concerning , hot flashes, major mood swings, depression and fatigue. Is this menopause and can it happen to me? Answer: It can always happen. But it is extremely rare. Ask your gynecologist to test your FSH. With high FSH and low estradiol, premature ovarian failure can be diagnosed with important consequences. ![]() Normal FSH excludes premature menopause. Question: Over the last year since I had my second child I have been experiencing night sweats, hot flashes, memory loss, weight gain, bloating, diarrhea/constipation, and menstrual periods every 3 months. I would hazard to guess that I am perimenopausal but I just turned 2. My mother says that she was around my age when she started having symptoms similar to mine and that eventually she was started on HRT to stop early menopause. Is it possible that I am perimenopausal? I have always had abnormal periods and didn't even start menstruating until I was 1. They found nothing wrong with my hormones at the time the sample was taken. Is it necessary to have hormonal samples taken throughout your cycle to get an accurate result? What should I do? I am a senior nursing student and I need my memory! Also my husband and I would like to know where we can find my libido? Loss of libido can have many reasons. This is the field of sexuology. Consult a sexuologist for that type of problem. As regard your complaints: psychological problems can mimic perimenopausal complaints. Menstrual periods only every 3 months is unusual unless you are still breastfeeding your child. Does your gynecologist have an explanation for this? Question: I am 5. Usually it stops again and the longer the treatment is continued the less bleeding occurs. But in some women the bleeding problem will continue. For diagnosis a sonohysterogram and a biopsy is sufficient to rule out serious troubles. There are two methods to continue with HRT: switch to a sequential combined scheme (such as Premphase) and accept regular withdrawal bleeds every month as is seen in 9. Premphase. Or try a continuous combined regimen with less estrogens. The breast tenderness points to a relative high dose. Question: In August of 1. I stopped taking birth control pills, based on the fact that I had been on them for nearly ten years and thought I would give my body a . Answer: It is quit unusual to have no periods after stopping birth control pills. Premature ovarian failure on your age is extremely rare, but other endocrinological problems like hyperprolactinemia or polycystic ovary syndrome are seen frequently in such situations. It deserves further medical attention. Please check- out the OBGYN. PCOS Pavilion for more information about this question. Question: I am a 5. I have been taking estrogen therapy since I was 3. Question: Six years ago I experienced all the signs of perimenopause at age 3. My doctor prescribed Premarin and Provera. My cycle, hot flashes, and severe anxiety attacks then stopped. Everything was good for a few years, now I'm back to irregular or no menstrual cycle. The hot flashes have also returned. How much longer will I have to go thru this till menopause? Answer: No one can predict the duration of perimenopause. It can stay for a very long time during many years and it can pass without notice at all. Some women are more lucky than others in this respect. Question: My mother went through menopause at 3. I am wondering what are the chances of her four daughters going through menopause this early? And if chances are high, how far before the age of 3. Answer: You are at risk for a premature ovarian failure because of your mothers history. But no one can tell you if this will happen indeed. A risk is not a prophecy. It is possible, but unlikely. The mean duration of perimenopause is 4 years. But there is a wide variation. Question: I have read a lot concerning menopause. Answer: No suggestions, because I do believe that coping problems have nothing to do with menopause. But without life events, no emotional disturbances are seen. Question: I am 4. I have lost my job, have lost complete interest in all outside activities, with the exception of the computer. My period which have never been normal, I would go a full year without it, have become regular, and are occurring every 3 weeks. I have lost my libido, I have severe mood swings, which can get extremely hostile, I am depressed most of the time, and have alternate periods of insomnia with periods of sleeping all the time. Do I need to see a gyn or do I need to see a psychiatrist? Could I be going through menopause? Answer: Your need is certainly a psychiatrist. All signs of depression are present. This e- mail is a promise that help will be useful. Question: I am a fifty- one year old women, who has not had a period for about a year and a half. All of a sudden this month I have a period, with all the same cramps and back ache and sore breast that I had experienced in the past. I have put on weight in the last year, about fifty pounds. Is it normal to start a period after not having one for so long? Answer: It is not normal to start again with periods. But it happens sometimes. But before you can conclude that periods restart you have to be certain that no endometrial lining problems like hyperplasia exist. An endometrial biopsy (or at least a transvaginal ultrasound) are necessary in postmenopausal bleeding. Please check- out the article . Glenn Bradley, MD Question: I am 5. I develop the pain when I am sexually aroused or at the time of having an orgasm. Could you give me any advise regarding my situation? Answer: I have no idea of the cause of your pain. This complaint is completely unknown to me. Without diagnosis choosing for a hysterectomy is not such a good idea, because it is a major surgery with a possibility of complications and with the possibility that the same complaints will stay after the hysterectomy. Question: My mother is 7. Answer: This is very unusual. A thorough gynecological examination is necessary. Hormone levels are necessary to diagnose functioning ovaries. When ovaries are not functioning properly (and that is very likely) the cause of bleeding has to be searched for. Periods will stop only after proper treatment of the cause. Please check- out the article . Glenn Bradley, MD Question: I am 4. Last year had surgery to remove an ovary and still have one. Answer: No, it can not. Doctor, am I experiencing Perimenopause? Any ideas? Answer: Maybe it is perimenopause. The change of your periods could be explained by anovulation. Mood swings are, as you know, often seen during the change. When spotting is disturbing you, this kind of bleeding problems can be cured by a cyclic course of a progestagen on days 1. When spotting occurs without any relation to menstruation, a gynecologic investigation is necessary. Question: Is it possible at 4. Answer: Yes it can. The possibility of pregnancy is present as long as there are periods. But with irregular periods the change is low. But also low changes are real. Use contraceptives until 1. Question: I was wondering if thyroid levels can change due to perimenopause. And can thyroid levels fluctuate due to perimenopause? Is breakthrough bleeding common in mid- cycle? Answer: Thyroid levels are not influenced by perimenopause. Breakthrough bleeding in mid- cycle is uncommon. Sometimes we observe a spotting just before ovulation in midcycle because of the decrease of endogenous estradiol on that time. But that is not breakthrough bleeding. Question: I'm almost 3. Answer: An increase of FSH can be a sign of perimenopause, but FSH levels can fluctuate enormously. At the age of 3. 9, the start of perimenopause can be completely within the normal range.
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