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Thread: What can I do for symptoms?

  1. #1
    Join Date
    May 2011
    Posts
    2

    Default What can I do for symptoms?

    Dr Williams,
    I have been trying to get pregnant for at least 6 years. I did have an ovary and tube removed as a result of a dermoid cyst when I was 22. I am 33 now. Since that time, I have periods up to 6 weeks apart, night sweats, severe menstrual pain so that I can't go to work, and all kinds of hormonal challenges.
    Last August, my doctor diagnosed me with PCOS on the one remaining ovary. He put me on metformin and was certain I would have better periods quickly and that I would be pregnant in 6-8 months.

    That time has passed, and my periods are getting worse again. I had night sweats almost every night for 2 weeks recently. I am not sure what it means, and I am not sure which symptoms would be caused by PCOS or if there is something else going on.

    I have been given several hormonal & thyroid tests over the last couple of years. They all came back normal..though I do not think any of these tests were done while I was experiencing symptoms.

    Is there something I could do to improve my symptoms besides medication, and is there a good resource to help me understand and express all the challenges I have so that I can have a fruitful conversation with my doctor when I see him again?

    Thank you!

    Sincerely,

    Wendy

  2. #2
    Join Date
    Oct 2008
    Posts
    103

    Default

    Wendy,

    PCOS can still be a factor, even with a single ovary. The irregular menses are consistent with PCOS, but the pain and the night sweats are not symptoms that are related to PCOS. Concerning night sweats are those that occur due to ovarian failure, when estrogen levels remain low for an extended period of time. If you are having night sweats at the beginning of the cycle, then you may have delayed egg growth with subsequent low estrogen levels. This is not a common situation, and not usually an occurance that is seen with PCOS. If your estrogen levels are low, and you do not have an oocyte (egg) developing within the ovary, and you are experieincing night sweats that resolve once your estrogen levles rise, then what you are experiencing is likely hormonally related. The tests for menopause (FSH) can still be normal even with low estrogen levels, if you are having some form of ovulatory dysfunction.

    The pain is likely unrelated to the night sweats. Pain with your menses can related to the amount of bleeding that you are having, or it can be a sign of endometriosis that may need to be evaluated surgically.

    Regardless, if your cycles are not regular because you are not ovulating regularly, and all hormonal evaluations have been normal, then you need some form of ovulation induction to ensure eggs are begin produced in a timely and more normal fashion. This is what will allow pregnancy to occur. Medications such as clomid, letrozole, or gonadotropins should be considered.

  3. #3
    Join Date
    May 2011
    Posts
    2

    Default Thank you

    Thank you for the information!
    I actually have the night sweats in the last 2 weeks of my cycle before menses begins. Since my cycle is irregular, I am not sure what it could mean in relation to my ovarian function. I did have an exam in August 2010 that was about 5 weeks past the previous menses, and my doctor said my uterus looked like it should just after having a menses. This exam was followed by a week of intense bleeding and pain.

    I did try clomid several years ago for a short period of time. I know my doctor may consider trying this again. I recall having migraine headaches for a week straight by the 3rd month of using a low dose of clomid.

    Is there a way to reduce these types of migraines while using such a medication?

    I definitely want an overall improvement to my health, as well as a chance to become pregnant. I would not rule out trying clomid or some other medication again, but I know that the side effects could be severe enough to cause a problem with my career.

    I greatly appreciate your insight into these things. I often am not sure what to focus on when telling my doctor about my symptoms, but I also have not visited another doctor yet for a second opinion. My doctor is considered one of the best in a large city, but he is not specifically a fertility specialist. I am not sure if now is the time to see a specialist, or if I should work with my doctor some more on 'less invasive' efforts before seeing a specialist.

    Sincerely,

    Wendy

  4. #4
    Join Date
    Oct 2008
    Posts
    103

    Default

    Wendy,

    Just wanted to follow-up. If you had an ultrasound and your Doctor stated that your uterus and pelvis looked like "right after a period", this usually means there is no follicle seen, and the lining of the uterus is thin. But with the bleeding and pain you had right after that is appears that you may not have had any lining develop that month due to lack of ovulation, and in these situations, women can have irregular menses and night sweats due to low estrogen levels. There are other medications that can be used to help regulate your cycle--migraines can occur with some but not with others. But closer attention to your ovulatory events will be necessary to help you conceive in the future.

    SW

  5. #5
    Join Date
    Oct 2014
    Posts
    2

    Default

    I actually have the night sweats in the last 2 weeks of my cycle before menses begins. Since my cycle is irregular, I am not sure what it could mean in relation to my ovarian function. I did have an exam in August 2010 that was about 5 weeks past the previous menses, and my doctor said my uterus looked like it should just after having a menses. This exam was followed by a week of intense bleeding and pain.

    I did try clomid several years ago for a short period of time. I know my doctor may consider trying this again. I recall having migraine headaches for a week straight by the 3rd month of using a low dose of clomid.



    _____________
    iqbal

  6. #6
    Join Date
    Oct 2014
    Posts
    2

    Default

    You have been incredibly helpful. Thank you so much for your kindness and consideration. I appreciate it very much.

    _________________
    ali

  7. #7
    Join Date
    Oct 2014
    Posts
    2

    Default

    You have been incredibly helpful. Thank you so much for your kindness and consideration. I appreciate it very much.

    _________________
    Last edited by inciidadmin; 12-30-2014 at 02:48 PM.

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