Gynecology / Women's Health Expert Forum
Irregular Periods
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Irregular Periods

Hi,

I am 34 years old and have had regular periods my entire life (every 24 days). I don't have any children and am not on any birth control.  For the past 3 months they have been irregular. The first month (October), I got my period 2 weeks early. I chalked this up to stress since I had a death in the family in October. In November in was a week early. I just got it again today and once again, it's a week early. My periods have always been painful. Along with other symptoms such as migraines, nausea, diarrhea, constipation, extreme fatigue (which seems to be the most troublesome throughout the month), backaches, leg pain, I become lethargic and have trouble concentrating. It gets so bad some months that I have to stay out of work because of the lack of energy and cramps. I have since seen my gynocologist and all tests came back normal. I also had a coloscopy for abnormal cells which turned out to be normal. This is very frustrating to me since I have bad pms the week before my period and with it coming so early lately, I only feel normal one week out of the month. Should this concern me? Should I wait it out a few more months to see if it gets back on track or head back to my dr? Thank you.
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Hi!
I certainly hope that you have tried some of the available medications for PMDD, and have not "just suffered" all these years.  You certainly have all the symptoms!  If you were my patient, I would definitely discuss Seasonique with you (the contraception that gives you only 4 periods per year).  I would also discuss Sarifem, or some other type of SSRI.  I presume you have tried some of these options!
If your periods are closer together than 21 days, they are not normal, and I would probably recommend investigating if you were my patient, and I would probably start with an ultrasound.  Some of your symptoms are suspicious for endometriosis too, so laparoscopy would also be a thought.  If you don't want children, you could even consider endometrial ablation to get rid of the periods.
Hope this helps!
Dr B
2 Comments
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Thank you so much for responding to my post! I have tryed some of the medications that you have suggested, no luck with them. My periods are closer than 21 days and for the last month I have been getting my period every other week. I have to do something! I will see a dr as soon as I can. I do not have medical insurance and it is tough to get to a dr to be checked out. This problem is concerning me and I wonder if it is something that I need to worry about, until I can get to a dr. Thank you for your help!
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