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Do Irregular Menstruation, Mood Swings And Dysmenorrhea Signs Of Polycystic Ovary Syndrome?
Question: I am 31. I have never been pregnant, and have had irregular periods (always falling within a window of 4-6 weeks, however) and debilitating dysmenorrhea since I first started menstruating. Two doctors have told me my symptoms seem like endometriosis, but I have never had a laprascopic diagnosis. During some cycles, I have pain mid-cycle in a localized area which seems to be ovarian. I have other symptoms of ovulation, such as egg-white consistency discharge around mid-cycle.
I am currently on my longest cycle ever: my last period was 54 days ago. (My longest cycle ever was 44 days long.) I have been experiencing mood swings for the past 16-20 days. I have only had sex with my partner three times since my last period. I used a condom every time and inspected it carefully to ensure that it did not break. I have had no other sexual activity which might have resulted in pregnancy. I took a urine pregnancy test on day 50, and it was negative. I plan to get a blood test in a few days to be sure. I am not interested in how likely it is that I am pregnant. I am interested in what else could be causing this.
More info: I have not been stressed out, I have not been over-exercising, I have not had poor nutrition. I have not recently gained or lost any significant amount of weight. A month ago, I got an ultrasound which showed what appears to be a cyst of 3 cm diameter on my left ovary. I have had 5 or 6 ultrasounds (transvaginal and abdominal) in the past, and none have ever shown a cyst on my ovaries, though cyst fluid was found once.
Is late-onset polycystic ovary syndrome a possibility? Can that develop suddenly in the early 30s? I have never had a missed period before, and I have no other symptoms that resemble PCOS. But is it possible? What else could be responsible for this? Thank you so much.
I am currently on my longest cycle ever: my last period was 54 days ago. (My longest cycle ever was 44 days long.) I have been experiencing mood swings for the past 16-20 days. I have only had sex with my partner three times since my last period. I used a condom every time and inspected it carefully to ensure that it did not break. I have had no other sexual activity which might have resulted in pregnancy. I took a urine pregnancy test on day 50, and it was negative. I plan to get a blood test in a few days to be sure. I am not interested in how likely it is that I am pregnant. I am interested in what else could be causing this.
More info: I have not been stressed out, I have not been over-exercising, I have not had poor nutrition. I have not recently gained or lost any significant amount of weight. A month ago, I got an ultrasound which showed what appears to be a cyst of 3 cm diameter on my left ovary. I have had 5 or 6 ultrasounds (transvaginal and abdominal) in the past, and none have ever shown a cyst on my ovaries, though cyst fluid was found once.
Is late-onset polycystic ovary syndrome a possibility? Can that develop suddenly in the early 30s? I have never had a missed period before, and I have no other symptoms that resemble PCOS. But is it possible? What else could be responsible for this? Thank you so much.
Brief Answer:
Unlikely PCOS
Detailed Answer:
Thank you for contacting HCM with your health care concerns
Unfortunately you have been suffering with irregular and painful periods all your adult life and now your cycle has been late. The time from your last cycle was 54 days ago and you have had a negative urine pregnancy test. I agree it is very unlikely that you are pregnant. Your most recent ultrasound showed only 1 ovarian cyst where all the other ultrasounds have shown none. Again it is very unlikely that you have developed PCOs at this age. More than likely is that your ovaries are not making the correct hormones at the correct time to allow for regular cycles. This is just your body is functioning and it is not going to change. The best option at this point is to possible start premarin for 10 days then stop. This will initiate a cycle artificially. The usual impetus to start a cycle is a sudden drop in estrogen so the premarin would artificially elevate the estrogen and then drop to start your cycle.
In summary
1. you do not have PCOs
2. You have irregular cycles
3. Try premarin to artificially start your cycle
I hope I answered your question. If you have any additional questions please contact us again.
Unlikely PCOS
Detailed Answer:
Thank you for contacting HCM with your health care concerns
Unfortunately you have been suffering with irregular and painful periods all your adult life and now your cycle has been late. The time from your last cycle was 54 days ago and you have had a negative urine pregnancy test. I agree it is very unlikely that you are pregnant. Your most recent ultrasound showed only 1 ovarian cyst where all the other ultrasounds have shown none. Again it is very unlikely that you have developed PCOs at this age. More than likely is that your ovaries are not making the correct hormones at the correct time to allow for regular cycles. This is just your body is functioning and it is not going to change. The best option at this point is to possible start premarin for 10 days then stop. This will initiate a cycle artificially. The usual impetus to start a cycle is a sudden drop in estrogen so the premarin would artificially elevate the estrogen and then drop to start your cycle.
In summary
1. you do not have PCOs
2. You have irregular cycles
3. Try premarin to artificially start your cycle
I hope I answered your question. If you have any additional questions please contact us again.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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