Meunstration "issues"?
i haven't had my term for like, 4 months.
- no, i haven't have sex
and now i own a gynecologist exam.
and i'm FREAKING out.
what should i expect?
Answers:
Question about my term and spotting?
What you are experiencing is called "amenorrhea" or absenteeism of menses. It is most likely cause by "anovulation" or lack of ovulation.
First: you don't enjoy cancer. I only enunciate this to get it out of the opening, because that's many general public's biggest fear. (Perhaps not yours.)
Second, nil they do should be particularly stinging.
The first thing the doctor will do is to filch a medical history. He/she will be looking for anything in your history, recent or distant past, which could explain why you aren't have menses.
A brief physical exam is sometimes performed to determine if within are physical clues to the correct diagnosis. Depending on your age different diagnoses will be more common. For example, if you a short time ago recently starting have menses, this could be completely normal.
The most adjectives causes are dearth of ovulation due to:
1) Polycystic ovarian syndrome
2) Weight gain.
3) Functional hypothalamic anovulation (stress, diet or exercise related)
4) Hormone imbalance near your thyroid gland, pituitary gland
or adrenal gland.
5) Pregnancy. (I know it's impossible, but they'll probably test you.)
6) Much smaller amount likely would be a benign growth contained by the brain, ovarian failure, or a uterine cavity which have been obliterate by a surgical procedure (as is performed for an abortion.)
Common test to expect would include:
Thyroid testing, prolactin, pregnancy interview, measurements of androgens (hormones which cause curls growth), perhaps an FSH and LH (hormones which promote ovulation) and estrogen.
They may want to perform an ultrasound to look at your ovaries, as this may assist next to diagnosis.
They will likely simply furnish you a medicine call medroxyprogesterone acetate (aka Provera or MPA) to see if your menses start.
They may not be able to hand over you a diagnosis without lab results. But create sure that you have a honest understanding of what your diagnosis is.
When you receive the diagnosis, ask them to explain the long-term consequences.
If they can't do this, find a reproductive endocrinologist.
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