Problem Periods – It’s Not Normal!

Problem Periods Are Not Normal

 

In the first five to seven years after the first menstrual period and the last ten years before menopause there can be variability in the cycles. Between the ages of 20 and 40 most women’s menstrual cycles fall into a familiar pattern of 28-day cycles. A pattern of very short (less than 21 days) or very long (greater than 35 days) time between menstrual periods or skipped periods indicates the woman is not ovulating. Extremely painful or heavy menstrual periods lasting longer than 7 days are also a cause for evaluation.

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Tying Your Tubes: The Rest of The Story

The Truth About Tubal Ligation

The euphemistic term “tying your tubes,” actually means the tubes are surgically and permanently severed or scarred to prevent the passage of an egg. That is after all, the goal. Tubal ligation methods may differ in their effectiveness for preventing pregnancy and in the risk of damaging the blood supply to the ovaries. Many women don’t understand that a tubal ligation may cause them to go through perimenopause prematurely. There are structures in the tubes, such as nerves and blood vessels feeding the ovaries, which can be damaged in the procedure. Damage to blood supply can affect the function of the ovaries. At the very least, after tubal ligation, some women begin having heavy bleeding with their periods and they may also develop symptoms akin to perimenopause. Rarely, tubal ligation can lead to premature menopause.

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Progestins Reduce The Cardiac Benefits of Estrogen

Progestins Reduce The Cardiac Benefits of Estrogen

 

All the adverse effects from the oral route of administration of estrogen as previously outlined in Outliving Your Ovaries can also occur from oral Prempro. However, the addition of the progestin seems to confer additional cardiac risk. Perhaps giving progestins daily instead of in cycles of 14 days each calendar month may be a factor in this increased risk. Earlier observational studies, like the Nurses’ Health Study, predominantly used oral cyclic progestins and did not show an increased risk of heart disease.

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MARINA JOHNSON
M.D., F.A.C.E.
MEDICAL DIRECTOR

BOARD CERTIFIED
IN ENDOCRINOLOGY
& METABOLISM AND
INTERNAL MEDICINE

10670 N Central Expressway
Suite 510
Dallas, Texas 75231-2111

214.574.4376 office
214.574.4377 fax

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