bleeding, irregular periods & LTBI

hi m 26 year female had irregular periods since starting of first periods. got various ultra sound done & almost every time gynic gave me cyclic tablets for 3 months. 4-5 times i hav also taken Emergency Contraceptive Pill in case of unprotected sex. from last 3 years i was having spotting for months, at time no periods. No PCOD is detected in ultra sound, thyroid (FT3-RIA, FT4-RIA, TSH) & Prolactin-IRMA r normal but my Latent TB is 11.059 (Normal range ,0.35) test performed interferon assay for latent tuberculosis. m also having left lower back ace from 10 days. my question is wer possible is this infection (wich part) as i hav no issues wit lungs/ breathing? wats the connection of LTBI wit periods/ bleeding?? wats causing bleeding for more than a month plz suggest.

[Elaine Brown, MD]

Hi!
It seems unlikely to me that your irregular periods are related to your TB.  Irregular periods are very common and are usually caused by an imbalance in hormones although we are not always able to detect which ones are causing the problem.  In many cases, when women don't ovulate normally, they will go long stretches of time without a menstrual period.  When this happens, the lining of the uterus tends to build up due to estrogenic stimulation without progesterone.  When the lining builds up, irregular or persistent bleeding can occur.  Sometimes it can be quite heavy.

If this process goes on for an extended duration of time endometrial hyperplasia or even cancer can develop.  Polyps are also common.   Often this process can be treated with progesterone followed by oral contraceptives.  There are other therapies as well, ddretdepending uon your wishes for pregancy

Goof luvk!

Goof lvuk!'