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Integrative Fertility  (Expert Forum)
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What is wrong with me??
Answered by
John H. Kim, M.D. - Women's Health, Gynecology, Acupuncture, Integrative Medicine, REI, Mind/Body Medicine, ReproductiveMedicine, IntegrativeFertility, Herbal Medicine, infertility, menopause
John H. Kim, M.D. Los Altos - CA
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This forum is for questions and support regarding an integrative approach to healing that combines the best practices in complementary and conventional medicine. Topics include: Acupuncture, Herbal Therapy, Mind/Body Medicine, Traditional Chinese Medicine, Fertility, Stress and Fertility, Body Weight and Fertility, Environmental Contaminants and Fertility, Polycystic Ovarian Syndrome, Recurrent Pregnancy Loss, Fibroids, Endometriosis, Hormone Imbalances, Menopause.

What is wrong with me??

by Weenis, Dec 10, 2007 11:12AM
I am 20years old, never been on any medications, nor have i ever been on birth control. The last rewgular period i got was in august, in september i spotted for 2 days and december the same thing happened, so I havent had a regular cycle in four months. Does anyone know what might be causing thins?

by John H. Kim, M.D., Dec 10, 2007 12:53PM
To: Weenis
It is not normal to have irregular periods like you describe. I suggest that you see your gynecologist to find out why your periods are irregular.  They will do a complete history, exam and likely blood tests and possibly ultrasound of your uterus and ovaries.  One possible condition is called polycystic ovarian symdrome (PCOS). The folllowing is some general information from my website:

PCOS can affect 5% of all women and common symptoms include irregular menstrual cycles, increased growth of hair on the body, loss of hair on the head, acne, and weight gain. Based on the 2003 ESHRE/ASRM sponsored Consensus Workshop Group, PCOS is diagnosed in women who meet two of the three following criteria: ovarian dysfunction (not ovulating regularly), hyperandrogenism (increased male type hormones on lab testing or clinically increased hair growth), or polycystic ovaries on ultrasound (ovaries which show multiple small cysts on ultrasound). PCOS is a common cause of infertility and puts women at an increased risk of developing Type 2 diabetes. There is also increased risk of insulin resistance, hypertension, and abnormalities of cholesterol and triglycerides in women with PCOS. Due to these risks, we advise our patients with PCOS to have the complete metabolic assessment with complete lipid panel testing and a two hour glucose tolerance test.

Please see your gynecologist. I wish you wellness.
Member Comments (2)

by Weenis, Dec 10, 2007 02:27PM
To: Dr. Kim
thank you, I plan on going to the doctor this weekend.
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