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Urogynecology (Expert Forum)
Irregular periods
Answered by
Lennox Hoyte, M.D. - UroGynecology, Pelvic Surgery
USF College College of Medicine
Tampa - FL
Questions in the Urogynecology forum are answered by medical professionals affiliated with USF Health. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.
Irregular periods
by Ponnu, Mar 22, 2007 12:00AM
I am 33. From January onwards, i am having irregular periods. In Jan, 2007 i had period twice ie within 15 days. But in Feb,2007 , no periods. Again in Mar,2007, the same twice with a 15 days gap. I went thru ultersound and gyn told me that the uterus has some swelling. according to her, in this age some has such problems. but i am not satisfied fully. Please help me.
Doctor's Answer
by Lennox Hoyte, M.D., Apr 01, 2007 12:00AM
, Apr 01, 2007 12:00AM
Women in mid and late 30's can develop irregular bleeding. Most important, get a pregnancy test and make sure it is negative. I am assuming you have done this.
THe irregular bleeding can be due to polyps in the uterine lining (these are benign, not cancer usually), or they can be related to ovulation problems. In this case, you can see a thickening (swelling) in the lining of the uterus. If this thickenings are present, your gynecologist will want to do an endometrial biopsy (done in the office) to test the cells lining the uterus for pre-cancerous lesions. While the ultrasound can be good at spotting any worrisome abnormalities in the uterine lining, the biopsy is usually definitive in giving a diagnosis. If the biopsy is negative, then your gynecologist can get you started on an onral contraceptive so that your periods can becoms regular again, if you wish.
THe irregular bleeding can be due to polyps in the uterine lining (these are benign, not cancer usually), or they can be related to ovulation problems. In this case, you can see a thickening (swelling) in the lining of the uterus. If this thickenings are present, your gynecologist will want to do an endometrial biopsy (done in the office) to test the cells lining the uterus for pre-cancerous lesions. While the ultrasound can be good at spotting any worrisome abnormalities in the uterine lining, the biopsy is usually definitive in giving a diagnosis. If the biopsy is negative, then your gynecologist can get you started on an onral contraceptive so that your periods can becoms regular again, if you wish.
