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Womens Health > Vaginal and Uterus Health Forum > Symptoms of cycle irregularity and sexual hormone disbalance
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Q: Symptoms of cycle irregularity and sexual hormone disbalance
asked by: DoctorQuestion on December 2nd, 2008
I have always had a regular 28 day cycle. Beginning about 7months ago, I went from a 28 day cycle to 26. That lasted for a few months, then I had light bleeding in the middle of my cycle after intercourse. The next month was fairly normal, except for 26 days. The following, I actually spotted for several days mid-cycle, light bleeding one day. Then when my period was due, I had some really sharp pains in my pelvic area for 2 days, no period then it finally arrived about 9 days late. This is when I went to the doctor, my primary. This month my cycle was only 22 days. My vaginal walls feel fuller than they use to. I have also been constipated for about a month now. I can go, it is just hard. This is unusual for me because of the colitis. I do not think it is due to stress. I do not feel stressed out a lot, and when moments come, I handle them and move on. I sleep well, but am tired more also. Should I seek another opinion, or should I just wait until my PAP is due in Feb.?


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Dr. Andrijana Shterjovska , MD
replied on December 2nd, 2008
Vaginal and Uterus Health Answer A5025
Current medical status: irregular periods and bleeding between periods, pain in pelvic area when period was due. Went to my primary physician a month ago, they did a pelvic exam, said it could be stress.
Current medical treatment: none


Given the symptoms you provided, it seems likely that you might be experiencing external body symptoms showing disbalance of sexual hormones in your organism. Sometimes women experience mid-cycle spotting and sharp pain (mittelschmertz) as a characteristic sign of rapid dropping of estrogen levels and a slow increase of progesterone, at the same time, happening right after an ovulation and, all in all, resulting in uteral light bleeding until progesterone reaches the needed level for this bleeding to stop. This is considered as pretty normal. Light variation of a day or two in menstrual cycle length (26-28 days) is not considered as an irregular cycle.

However, recent irregularities in cycle length (22 days), period being 9 days late and really sharp pelvic pains without menstruation when it should begin, might indicate a referral to a gynecologist, who might do hormonal blood tests as well as a transvaginal ultrasound to find out the reason for these symptoms and prescribe an adequate treatment, if needed. But you might want to wait until the next period, see if same symptoms repeat, and schedule the ob/gyn appointment if they do. In case these symptoms show they were only transitional and therefore do not appear again, then you might just wait until your next regularly scheduled PAP test and then bring it over to your gynecologist.





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