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Amenorrhea at 24 years of age
Hello. I am a 24 y.o. female (will be 25 in two weeks) and have been having dysmenorrhea since September 2016. I will try to describe my situation as thoroughly as possible below.
PRIOR PERIOD HISTORY: I first got my period at 14. Before September 2016, I was consitently having 7-day periods, sometimes irregular, but never more than 45-50 days apart. For the 6 months prior to September I was having very regular periods every 28-30 days (however two periods in August, 2 weeks apart - the second one was very light). I was prescribed and had been taking hormonal birth control pills "Lindynette 20" for 3 months when I was 15 (my mother was very concerned for a 15y.o. girl's irregular periods, I know... and it did nothing) and have not been taking any BC since.
IRREGULARITIES, MEDICATIONS: I had no period from the end of August to the end of November 2016. This wasn't a particularly stressful time at work or in life, so this doubled my confusion. In the middle of November I went to my first doctor who prescribed me to take a period-inducing pill Duphaston (Didrogesterone 10 mg) and BC. I have taken neither, as the other advice she gave made me doubt her qualification (such as suggesting that I need to have sperm inside me to stimulate the ovaries). Then it finally started on its own at the end of November.
Then there was no period again for 3 months, and in March I decided not to wait and take 100mg of Duphaston as was prescribed the last time (2 pills every day for 5 days) and within 2 days got withdrawal bleeding. In April I went to another doctor who put me on Duphason and had me take a hormone blood test the 2nd day of my progesterone-induced cycle (which makes me doubt the correctness of my results now that I think about it – but that’s what the doctor said). I just got the results back and they are all within their normal amounts:
- TSH (3.80 μIU/ml)
- Total (.47 ng/ml), Bioavailable (32.36%) and Free Testosterone (.01 ng/ml)
- FSH (7.89 mIU/ml)
- Estradiol (90 pg/ml)
- LH (22.86 mEq/l) – sorry if I got the measures wrong, as I am translating from Russian.
In terms of general health I am doing okay. I am 5”7 (174 cm) and 136 lbs (62 kg), have no visible symptoms of hormonal imbalance and feel fine.
ULTRASOUND: I had two intravaginal ultrasounds done (middle of November and middle of April 2017). Both showed the same results: I have multi-follicular ovaries. I was told that the follicles do not mature and there is no dominant follicle. I have 7-12 follicles in each ovary. Endometrium is 5mm thin. Everything else is fine. I included a picture of the ultrasound done on April 19.
OTHER DISORDERS: I was diagnosed with HPV when I was 17 (became sexually active at 18) and have outbreaks of single small warts on vulva. I get tests done regularly (polymerase chain reaction, or PCR method) and do not have the cancerous type.
I went to the second doctor this April (hence the second ultrasound) and was told that I have small single warts on my vulva and in the vestibule of the vagina. My doctor prescribed an immunomodulator (peptidoglycan) and an anti-viral drug (a russian-produced alloferon). I also found out to have cervix leukoplakia, and now I am waiting for my insurance to approve my Pap-test.
Finally, QUESTIONS: Thank you so much to have read this far. I guess my question is, what could possibly be wrong with my cycle? Is there a way of treating it, other than hormonal birth control? Could it be connected with the diseases that I have? I will appreciate any additional questions and any help. Thank you very much.
PRIOR PERIOD HISTORY: I first got my period at 14. Before September 2016, I was consitently having 7-day periods, sometimes irregular, but never more than 45-50 days apart. For the 6 months prior to September I was having very regular periods every 28-30 days (however two periods in August, 2 weeks apart - the second one was very light). I was prescribed and had been taking hormonal birth control pills "Lindynette 20" for 3 months when I was 15 (my mother was very concerned for a 15y.o. girl's irregular periods, I know... and it did nothing) and have not been taking any BC since.
IRREGULARITIES, MEDICATIONS: I had no period from the end of August to the end of November 2016. This wasn't a particularly stressful time at work or in life, so this doubled my confusion. In the middle of November I went to my first doctor who prescribed me to take a period-inducing pill Duphaston (Didrogesterone 10 mg) and BC. I have taken neither, as the other advice she gave made me doubt her qualification (such as suggesting that I need to have sperm inside me to stimulate the ovaries). Then it finally started on its own at the end of November.
Then there was no period again for 3 months, and in March I decided not to wait and take 100mg of Duphaston as was prescribed the last time (2 pills every day for 5 days) and within 2 days got withdrawal bleeding. In April I went to another doctor who put me on Duphason and had me take a hormone blood test the 2nd day of my progesterone-induced cycle (which makes me doubt the correctness of my results now that I think about it – but that’s what the doctor said). I just got the results back and they are all within their normal amounts:
- TSH (3.80 μIU/ml)
- Total (.47 ng/ml), Bioavailable (32.36%) and Free Testosterone (.01 ng/ml)
- FSH (7.89 mIU/ml)
- Estradiol (90 pg/ml)
- LH (22.86 mEq/l) – sorry if I got the measures wrong, as I am translating from Russian.
In terms of general health I am doing okay. I am 5”7 (174 cm) and 136 lbs (62 kg), have no visible symptoms of hormonal imbalance and feel fine.
ULTRASOUND: I had two intravaginal ultrasounds done (middle of November and middle of April 2017). Both showed the same results: I have multi-follicular ovaries. I was told that the follicles do not mature and there is no dominant follicle. I have 7-12 follicles in each ovary. Endometrium is 5mm thin. Everything else is fine. I included a picture of the ultrasound done on April 19.
OTHER DISORDERS: I was diagnosed with HPV when I was 17 (became sexually active at 18) and have outbreaks of single small warts on vulva. I get tests done regularly (polymerase chain reaction, or PCR method) and do not have the cancerous type.
I went to the second doctor this April (hence the second ultrasound) and was told that I have small single warts on my vulva and in the vestibule of the vagina. My doctor prescribed an immunomodulator (peptidoglycan) and an anti-viral drug (a russian-produced alloferon). I also found out to have cervix leukoplakia, and now I am waiting for my insurance to approve my Pap-test.
Finally, QUESTIONS: Thank you so much to have read this far. I guess my question is, what could possibly be wrong with my cycle? Is there a way of treating it, other than hormonal birth control? Could it be connected with the diseases that I have? I will appreciate any additional questions and any help. Thank you very much.
COMMUNITY LEADER
I had periods every 3 to 4 months for a year and a half in my 20's. I had two things going on--- first, a hormonal imbalance in that I was producing too much estrogen. Second, my thyroid was functioning slow. That combined made for very long cycles. Major pain as I would get pms at 3 weeks in and it would last. I was scheduled to begin working with an endocrinologist (who specializes in hormones/ thyroids) when things kind of just righted themselves. My period got more regular, shorter cycles and I went on to have my kids. I had no treatment and it got better.
anyway, you are working with your doctor. Keep us in the loop of what they say to you about this and what happens.
anyway, you are working with your doctor. Keep us in the loop of what they say to you about this and what happens.
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