OpenHealth Q&A

Frustration with Irregular Periods and Dismissive Physicians

Greetings, I've shared my experiences here previously, focusing on related yet distinct issues. About my background: - I am a 22-year-old female who has recently shed 40 pounds, bringing my weight to 180 lbs. - I've experienced irregular menstrual cycles since I first got my period at age 13. - I was diagnosed with precocious puberty at 8 and received Nexplanon until I was 11, with my menstruation commencing at 13. - I also have Von Willebrand’s disease type 8 and delivered my son via cesarean section in 2022. In an effort to be concise while still providing necessary context for my inquiries, I would like to address two main points: 1. What could be the underlying reasons for my erratic menstrual cycles? 2. Should I consider switching my obstetrician-gynecologist (OBGYN) once more? Since starting my menstruation at 13, my cycles have been inconsistent. Initially, I was within a healthy weight range, but the explanation for my irregular periods was attributed to my age. Extensive hormone testing—including thyroid function, estrogen, progesterone, and testosterone—yielded normal results. My physician dismissed conditions like PCOS and endometriosis since I lacked the necessary scarring. Fast forward to 2022, I became pregnant and underwent a C-section. I changed my doctor at that time because my previous one claimed a retroverted cervix (tilted cervix) would prevent me from experiencing a natural birth. However, I later learned that many women with a retroverted cervix give birth naturally. During my surgery, my bladder was accidentally injured, resulting in significant blood loss and scarring that might prevent future vaginal deliveries. I now consult a new doctor at the University of Michigan, but each time I bring up my cycle issues, I receive varying explanations. She attributes it to my weight, stress, age, or casually dismisses it as “nothing to worry about.” Here are my major concerns: - Numerous women in my maternal family, including my mother and grandmother, had hysterectomies due to cancer around the ages of 25-27, but these worries are overlooked by my healthcare providers. - My weight has fluctuated significantly over the years; I once went from 110 lbs to 200 lbs while actively playing sports like softball and golf. Despite the active lifestyle, I'm told my weight gain might be linked to being bipolar or grieving the loss of siblings. - It’s nearly impossible for me to monitor my menstrual cycle! While not actively trying to conceive, my partner and I are open to the possibility in the future. However, my cycles can last anywhere from 47 to 92 days. Ovulation tests come at a high cost, and (more than you need to know) my discharge is typically clear and thin, making tracking difficult. - To top it off, my menstrual periods are excruciating. They are accompanied by severe pain and heavy flow. In response, my doctor prescribed Tranexamic acid at 650 MG as a temporary solution. What I truly desire is a regular menstrual cycle. At this point, I feel as if I must beg for just a hint of guidance or clarity on my situation. :(

Answers (1)

3/24/2025, 1:11:00 AM

OpenHealth AI

It sounds like you're feeling frustrated and uncertain about your menstrual health, especially given your family history and past experiences with healthcare providers. It's completely understandable to seek clarity and regularity in your menstrual cycles. Let's break down your concerns and explore potential underlying causes and next steps.

Key Points:

1. Potential reasons for irregular periods:

   • Hormonal imbalances, even with normal tests, can still exist and may be influenced by stress, weight fluctuations, or underlying conditions.
   • Conditions like polycystic ovary syndrome (PCOS) may not always present with visible signs, and endometriosis can sometimes be hard to diagnose without surgery.
   • Your past medical history, including precocious puberty and Von Willebrand’s disease, could contribute to menstrual irregularities.

2. Considering a change in OBGYN:

   • It's important to feel heard and validated. If your current physician isn't addressing your concerns or providing satisfactory explanations, it may indeed be beneficial to seek a second opinion or switch doctors.

Explanation:

Menstrual irregularities can arise from various factors, including hormonal fluctuations due to weight changes, stress, or genetic predispositions. Since you have a family history of severe reproductive health issues, it’s vital to approach this with thorough investigation and consideration. Your experiences with healthcare providers have understandably led to feelings of frustration when your concerns are not met with understanding.

Next Steps:

1. Track Your Symptoms:

   • Start keeping a diary of your menstrual cycles, including dates, flow intensity, duration, pain levels, and any accompanying symptoms. This information can be valuable for any future consultations.

2. Discuss Further Testing:

   • Consider asking for additional hormonal testing or imaging, such as an ultrasound, to explore potential causes of your irregular cycles further. Discuss the possibility of checking for other conditions like PCOS or endometriosis, even if previous evaluations have suggested otherwise.

3. Evaluate Changing Providers:

   • If your current OBGYN continues to dismiss your concerns, consider seeking a reproductive endocrinologist or another OBGYN for a fresh perspective. It’s essential to work with someone who respects your background and needs.

4. Managing Heavy Painful Periods:

   • Since you’re already taking Tranexamic acid, discuss with your doctor whether additional options are available, such as hormonal contraceptives or other pain management strategies that may regulate cycles and ease symptoms.

5. Prioritize Mental Health:

   • Given the weight fluctuations and family history, engaging with a mental health professional may also provide support and strategies for managing stress or grief, which can indirectly impact your menstrual health.

It's completely valid to seek a clearer understanding and support regarding your menstrual health. You're doing important work by seeking answers and advocating for yourself. Keep tracking your symptoms, stay informed, and don’t hesitate to reach out for a provider who listens to your concerns.