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Ovulating but Amennorhea? Please, any ideas what is wrong with me?
I haven't had a period in SEVEN YEARS. was on the pill for 17 years. Stopped about 6 months ago. Still no period.
Recently, went to see a reproductive specialist. She did a vaginal ultrasound. She said everything, including my uterine lining, looked normal. I asked her about cervical stenosis as I have had a LEEP (including cervical canal) but she said at least the ultrasound looked normal.
She said it looked like I ovulated,and I have eggs, etc. She expected my endometrial lining would be too thick or too thin after not having had a period for so long, but it looked normal/medium thickness. They did blood tests, which were borderline but said I did ovulate. And, she said she expected I'd get my period within a week.
So what happened?
Same thing that happened the last 4 months- 2 days of cramps.. and NOTHING. Just a little white, slightly thick, milky discharge (or lubrication) for a few days.
Anyone have any idea what is wrong with me? Help?
They did a progestin challenge test 2 months ago which I failed.
Now, I'm going to have to do that, again.
And, when/if that fails, I'll have to do a EStrogen then progestin.
I am SO frustrated. 34, running out of fertility time!
Anyone have any ideas? Help please?
Recently, went to see a reproductive specialist. She did a vaginal ultrasound. She said everything, including my uterine lining, looked normal. I asked her about cervical stenosis as I have had a LEEP (including cervical canal) but she said at least the ultrasound looked normal.
She said it looked like I ovulated,and I have eggs, etc. She expected my endometrial lining would be too thick or too thin after not having had a period for so long, but it looked normal/medium thickness. They did blood tests, which were borderline but said I did ovulate. And, she said she expected I'd get my period within a week.
So what happened?
Same thing that happened the last 4 months- 2 days of cramps.. and NOTHING. Just a little white, slightly thick, milky discharge (or lubrication) for a few days.
Anyone have any idea what is wrong with me? Help?
They did a progestin challenge test 2 months ago which I failed.
Now, I'm going to have to do that, again.
And, when/if that fails, I'll have to do a EStrogen then progestin.
I am SO frustrated. 34, running out of fertility time!
Anyone have any ideas? Help please?
Hi there - I would approach things in two steps.
First, it is important to know for sure if you are ovulating. The best/only way to know for sure is to get progesterone levels, which are blood tests. A progesterone level greater than 3 almost always means ovulation. If your value was 'borderline', it may be that you have not ovulated. Also, sometimes the lab can make a mistake, so that one reassuring value, especially without a period to follow, may have just been a lab error. So first step would be to get a progesterone level weekly, until the level exceeds 3 or even 5. Once it does, I would recommend repeating in 5-7 days just to confirm.
If it is not > 3, I would suggest repeating weekly for at least 5 weeks in a row.
This will tell you whether or not you are ovulating, and if you are ovulating you should either get a period or get pregnant.
If the progesterone DEFINITELY proves ovulation, and you still do not get a period, then an evaluation of your uterine cavity is worthwhile with a hysterosalpingogram, saline ultrasound, or hysteroscopy.
What hormones did your doctor check? He/she should check FSH, LH, estradiol. progesterone, prolactin, TSH.
Did you have any history in the past of a D&C operation, especially after a pregnancy? What is your weight. Do you have any hot flushes? Do you have any breast discharge. Do you have any excessive hair growth?
Good luck!
First, it is important to know for sure if you are ovulating. The best/only way to know for sure is to get progesterone levels, which are blood tests. A progesterone level greater than 3 almost always means ovulation. If your value was 'borderline', it may be that you have not ovulated. Also, sometimes the lab can make a mistake, so that one reassuring value, especially without a period to follow, may have just been a lab error. So first step would be to get a progesterone level weekly, until the level exceeds 3 or even 5. Once it does, I would recommend repeating in 5-7 days just to confirm.
If it is not > 3, I would suggest repeating weekly for at least 5 weeks in a row.
This will tell you whether or not you are ovulating, and if you are ovulating you should either get a period or get pregnant.
If the progesterone DEFINITELY proves ovulation, and you still do not get a period, then an evaluation of your uterine cavity is worthwhile with a hysterosalpingogram, saline ultrasound, or hysteroscopy.
What hormones did your doctor check? He/she should check FSH, LH, estradiol. progesterone, prolactin, TSH.
Did you have any history in the past of a D&C operation, especially after a pregnancy? What is your weight. Do you have any hot flushes? Do you have any breast discharge. Do you have any excessive hair growth?
Good luck!
did they check your pitutary.... you need an MRI and prolactin level checked.
I was thinking thyroid issues
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