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Womens Health > Infertility Forum > Why are my periods so irregular ? Time for fertility drugs ?
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Q: Why are my periods so irregular ? Time for fertility drugs ?
asked by: DoctorQuestion on June 4th, 2007
Ok. I stopped NuvaRing in June 2006. I did have very irregular and very painful periods before going on the Pill & it wasn't until NuvaRing that I had regular cycles. Before that I was on the Pill for a combined 7 years. (Had a D&C @ 9wk & 6 days in March 2001. No complications.) I had "periods" in July & August 2006 after stopping the Ring. Then nothing until the doctor visit in October- and the Prometrium.
My husband & I have been trying to conceive since Nov/Dec 2006. I am very alarmed that I haven't had regular periods in the year since stopping the Ring. I'm going back to my GYN in July (insurance kicks in). How concerned should I be about the irregular periods? Does this mean I may have trouble conceiving? I've wondered if I have PCOS (my sister does) but my hg1 was within normal limits. Basically, I'm wondering, what are the possible next steps in determining why my periods are so irregular? Is it time to break out the fertility drugs?


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DoctorAnswerDoctor Answer
replied on June 12th, 2007
Infertility Answer A2884
You wrote: Current medical status: I don't know if these are considered periods or not: Prometrium induced bleeding in October 2006 for 7-14 days & bleeding for 2 days in November (11/19-11/20) & 5 or so days of bleeding in January 2007 which I thought was a period. However, I was charting my BBT and there was no visible temperture shift before the bleeding.

Current medical treatment: In October I went to my GYN and she put me on Prometrium for 10 days to "kick start" my period. After 5 days on the regimen, I started bleeding. I informed her and she said that was a good sign. In December I took an Hgb1 test (measures blood sugar for previous 3 months.) It was 4.5 or 4.9% (normal). No current meds"

The most common causes of irregular menstrual cycles are : hormone imbalance, stress, dietary problems, and thyroid conditions. Irregular periods may also be a sign of more serious disorders, especially endometriosis or PCOS (polycystic ovary syndrome). Therefore, all these conditions should be considered. Fertility depends on ovulation: if a woman experiences normal ovulation, the chances of getting pregnant won't be affected by the irregularity of the periods. You can consult your gynecologist for more advice and to request diagnostic procedures for identifying the cause of these irregular menstrual periods.




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