Dear An_262155, Women do occasionally have cramps associated with a polyp-the uterus sort of views the polyp as something that shouldn't be there, and tries to push it out (with cramps!). One question that I would ask now is could you have developed a low grade infection from the D and C; any uterine procedure carries a small risk of developing an infection-so do check in with your health care provider, to see if he thinks you might have a low grade uterine infection. Good luck, Mary JaneView Thread
Dear Jeepers94, Sounds like you really care a lot for your friend, which is wonderful. Perhaps you could give her this post-women in perimenopause often do have emotional issues-they don't feel well, and aren't sleeping well, because of hot flashes and night sweats-and there are many interventions that she could look into-she can start reading now! Perhaps there are some hormonal issues at play, that could be helped-do encourage her to check in with her health care provider, for some individual guidance. Best of luck, and I hope things will work out for you both, Mary JaneView Thread
Dear An_246914, Just about anything can trigger a hot flash; indeed we really don't know what causes them, or the exact mechanism. I would suggest usual night sweat remedies: keeping the room as cool as possible; dry nightgown next to the bed to change into; cooling pillows, and then some medications, over the counter, or prescription, if needed. Good luck, Mary JaneView Thread
Dear bcs8791, A high FSH is certainly a good indicator, but if you are still having periods, technically you are not fully menopausal, and thre still is likely to be some ovarian activity. Again, Duavee is certainly a reasonable medication. Are your migraines associated with aura? If they are, then indeed oral contraceptives would not be a good idea. If you do not have auras, you could try a low dose pill-and if your headaches got worse, then you would want to stop. Some migraines are triggered by changes in the estrogen levels; and if there is still some ovarian activity, birth control pills can be helpful in limiting that fluctuation. So I think you do have several options, and if one doesn't work out well,by all means then switch to a different one, to get you feeling better. Good luck, Mary JaneView Thread
Dear An_262043, You're asking excellent questions. Duavee is a good medication-but indeed it is officially a menopause, not perimenopause medication. One question I would ask-have you and your doctor considered low dose birth control pills? for a very young woman in perimenopause, you might do very well with a low dose pill. It also is reasonable to start estrogen (and oral medication is fine) with periodic progesterone, if you aren't getting menses on your own. So I think intervention is quite appropriate (as a young woman, you really do need to be on some estrogen)-different options are available. Good luck, Mary JaneView Thread
Dear sep12, A hysteroscopy involves looking into the uterus with a very narrow "telescope" so you can look directly at the lining-to directly see a polyp or irregularity. You can have intravenous sedation for this (and we also usually use a little novacaine inserted in the cervix to help make you comfortable)-so whatever your preference is fine. We have very fine anesthetic agents these days, which will put you completely out, but from which you wake up very quickly, without a "hangover" type feeling-and either approach is fine. Good luck, Mary JaneView Thread
Dear An_261973, Sorry you are experiencing these problems. The issues are a bit unusual-at 59, with menopausal blood values, it is very unusual to be having things associated with a monthly cycle. The good news is that if there is indeed some ovarian activity, it should be ending reasonably soon. One other diagnostic test that might be helpful here would be an MRI-read by someone who is really good at gyn MRIs. Good luck, Mary JaneView Thread
Dear An_246914, Happy to comment on the Basal body temperature. In general, I don't push women to do BBT's: they need to be done after a reasonable night's sleep to be accurate (and indeed, so many perimenopausal women are up and about several times a night-it's not clear how accurate they are in that setting)-also women in perimenopause are having hot flashes, which really can alter the basal body temperature. How they work in infertility patients is that right before ovulation, the temperature does dip, and then under the influence of progesterone, your temperature does in general rise a half a degree F to a degree; it stays up if one is pregnant (persistent progesterone production). So indeed, it can serve as a marker of ovulatory function; but in the setting of the typical perimenopausal patient it can be hard to interpret. Mary JaneView Thread
Dear Suemca (and Dincolo), Indeed these types of bleeding patterns are very common in perimenopause; keep reading on this website, and you'll see many examples of the kind of crazy bleeding women do in perimenopause, usually a manifestation of the fact that we ovulate more poorly at this time of life, and when we ovulate worse we make less progesterone, which is the "policeman" of the uterus, keeping things tidy. Oftentimes, health providers will provide progesterone or low dose birth control pills to regulate the bleeding. If a bleeding pattern is sufficiently strange, or the bleeding persists despite using appropriate hormonal intervention, health care providers will recommend an ultrasound of the lining of the uterus, or a biopsy of the lining of the uterus (done transvaginally) to rule out any abnormalities of the lining. So don't worry; do keep track of the bleeding pattern, and let your health care provider know what you've been doing. Good luck, Mary JaneView Thread
Dear slaw1962, The progesterone should be long gone by now; however, I would defer to an allergist to tell you how long an allergic reaction to anything could last-but the progesterone you took in should be gone for quite a while by now. good luck, Mary JaneView Thread
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