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Womens Health > Infertility Forum > Difficult Menstruation & Imbalanced Hormones
If you're experiencing difficult conceiving, you are not alone. Learn how doctors define infertility and how infertility affects both men and women here....
Many things cause fertility problems. Learn common causes of infertility for men and women here, plus info on factors that affect the ability to conceive....
Sometimes fertility do not manifest any symptoms. Other times there are definite signs. Learn to identify possible problems and know when to ask for help....
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Q: Difficult Menstruation & Imbalanced Hormones
asked by: DoctorQuestion on February 15th, 2007
Me and my man have ben trying for a baby for the past 1 and a half years.My hormones were checked,they are all balanced and ready for conception. An x-ray was done and my fallopian tubes were found to be in a perfect condition, no blockages, my uterus was found to be ok, yet i cant conceive. My man has a child from a previous relationship. It seems i cant menstruate on my own, whenever the doctor put me on contraceptives i menstruate properly, once i stop, i will menstruate well for the following 2 or 3 months then it stops altogether. Previously i would sometimes bleed for weeks until i saw a doctor to stop the bleeding,this was about 3 yrs ago,but now its the direct opposite. I have never had regular periods since menarche, when i started being sexually active my problems started. Please help i am desperate.


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Dr. Nikola Gjuzelov , MD
replied on March 12th, 2007
Infertility Answer A2398
If your last menstruation was 10/15/2006), you experience irregular cycles and rare menstruations (oligomenorrhea) all the time and use oral contraceptives to provoke menstruation, it seems likely that your gonadal (estrogen and progesterone) and gonad-stimulating hormones (FSH and LH) are out of balance!!!


You could be experiencing some kind of decreased function of the axis ovaries-pituitary gland-hypothalamus (hypogonadism). Depending upon the location, hypogonadism is classed as either primary (originating from the ovaries), secondary (originating from the pituitary gland) or tertiary (originating from the hypothalamus). Several hormonal analyses (FSH, LH, estrogen, progesterone, prolactin, testosterone, DHEA, thyroxin…) have to be done to locate the problem. An ultrasound scan is also necessary for detecting possible ovarian follicles and measuring endometrial thickness.


You can consult an endocrine gynecologist who specializes in these diagnostic procedures for further help.





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