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Menopause (Expert Forum)
cramping
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School
MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy , hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis , sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.
cramping
by punia, Jan 13, 2007 12:00AM
Concerned and perplexed....please help
I am a 53 year old female who for the past several years have gone without a period or cramps. I have not had any other menopause symptoms. About 8 months ago I started to have very, very, very light spotting with no cramps.....For the last several weeks the spotting has become even more light but I am now experiencing menstrual cramps. The odd thing is religously the cramps start like clockwork everyday between 1 and 2 p.m. and last for about 4 hours then disappear. I have started to take Vicoden to relieve the cramps and that helps tremendously. If I do not take the Vicoden, the cramps are so bad that only a fetal position with a heating pad helps a little. I recently had a pap smear and the results were normal with insignificant abnormalities. I had a pelvic ultrasound which was inconclusive. I am now scheduled for a pelvic MRI next week. I have not had any diagnosis my from my doctor...pending the result of the MRI. I am diabetic nd overweight. Can you please shed some of your professional light on my situation????
Any and all comments would be appreciated.
I am a 53 year old female who for the past several years have gone without a period or cramps. I have not had any other menopause symptoms. About 8 months ago I started to have very, very, very light spotting with no cramps.....For the last several weeks the spotting has become even more light but I am now experiencing menstrual cramps. The odd thing is religously the cramps start like clockwork everyday between 1 and 2 p.m. and last for about 4 hours then disappear. I have started to take Vicoden to relieve the cramps and that helps tremendously. If I do not take the Vicoden, the cramps are so bad that only a fetal position with a heating pad helps a little. I recently had a pap smear and the results were normal with insignificant abnormalities. I had a pelvic ultrasound which was inconclusive. I am now scheduled for a pelvic MRI next week. I have not had any diagnosis my from my doctor...pending the result of the MRI. I am diabetic nd overweight. Can you please shed some of your professional light on my situation????
Any and all comments would be appreciated.
Doctor's Answer
by Machelle Seibel, MD, Jan 15, 2007 12:00AM
, Jan 15, 2007 12:00AM
A. It is good you are getting an MRI. I don’t know what an inconclusive ultrasound means. Was it normal or were they unable to see the anatomy? Sometimes it is beneficial to obtain a sample of the uterine lining as an office procedure called an endometrial biopsy. That makes sure there isn’t any cancer. Other testing includes placing a telescope into the uterus and looking to see if there are any polyps or other causes of the bleeding. If you have an MRI, you might not need these things to be done. It is also a good idea to have a basic pelvic exam to be sure there isn’t a polyp on the cervix or any other possible cause of the bleeding.
Other things can cause cramping too, such as intestinal problems, though they do not cause vaginal bleeding. Sometimes taking vicodan can cause the intestines to slow down and that can actually be a cause of abdominal pain. If your gyn cannot solve the problem, talk with your internist or a GI (intestinal) doctor as well.
Machelle M. Seibel, MD
Other things can cause cramping too, such as intestinal problems, though they do not cause vaginal bleeding. Sometimes taking vicodan can cause the intestines to slow down and that can actually be a cause of abdominal pain. If your gyn cannot solve the problem, talk with your internist or a GI (intestinal) doctor as well.
Machelle M. Seibel, MD
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