At age 15, I had a perforated appendix, hence appendectomy. At 32, I was suspected of an incomplete miscarriage, hence underwent a D &C. A few days later, an ectopic pregnancy was discovered and a tube removed. For this procedure, laparoscopy was started but abandoned due to excessive scar tissue, and full surgery was performed to 'clean up'. I am 42 now and have had extremely light 2-day periods since 35! My 'normal' period' used to be 6 days, with 4 days of heavy flow. I used to have hotflashes 5 yrs ago but stopped with lighter nightclothes. I've started dry patches near my nose and mouth. I have no other symptoms. Could I be perimenopausal? Could recurring scar tissue be affecting my ovaries and causing my light periods? How can I find out? I am so afraid my periods may stop altogether. What else could it be? What should I do?
A ruptured appendix and an appendectomy and a D&C can both potentially contribute to infertility and an ectopic pregnancy. In theory, scarring could surround the ovary and the blood supply to it and lead to menopause occurring sooner. This would be very uncommon. It is possible that your symptoms of lighter menstrual flow are a sign of perimenopause. The easiest way to find out is to have your doctor draw a blood test for FSH. If elevated, that would indicate you are near or in perimenopause. The problem with this is that most women have a slightly elevated FSH at age 42 or so. Menopause is not considered early or "premature" unless it occurs before age 40. There really isn't a test for finding if there is scar tissue on the ovaries. It does not show up on ultrasound. It would take a surgery which would not be something done for that purpose. The best approach is to have your doctor check your FSH and estrogen levels. Other possible hormone tests could be for prolactin, which is a pituitary hormone, and Thyroid stimulating hormone or TSH to test for thyroid function which can also affect menses. However, a person's weight can also be a factor, especially if the person is very thin or lost weight.
Machelle M. Seibel, MD
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.