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My Menstrual Cycles Are Pretty Regular Apart From A Couple

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Posted on Tue, 23 Mar 2021
Question: My menstrual cycles are pretty regular apart from a couple of blips. The problem is I always had 5 days of bleeding but now this has changed to 8 days and on one occasion 10 days. I am worried I won't ovulate as I am just starting to try and conceive. Tests in the past have shown I do ovulate it just worries me with the prolonged days of bleeding. For the 1st 3 days I am really light like one towel all day. Then it goes to normal period, no heavy bleeding or clotting or anything just normal for me. I have a telephone appointment with GP on Thursday but just wondered whats going on and if I can conceive?
doctor
Answered by Dr. Sameer Kumar (50 minutes later)
Brief Answer:
polymenorrhoea

Detailed Answer:
Hello,
Thanks for the query,
As you are 45 and trying to conceive, and with cycles becoming irregular since last 6 months or so, with prolonged bleeding during menses, there are chances that you may be experiencing irregular shedding due to anovulatory cycles.
So it s recommended that you may get your hormonal profile done ( AMH-ovarian reserve, LH, FSH, SERUM ESTRADIOL, SERUM TESTOSTERONE), Thyroid profile and serum prolactin levels along with an ultrasound pelvis to check for endometrial thickness ( to evaluate phase of endometrium).
Please follow up with reports.
Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sameer Kumar (46 minutes later)
Clearblue fertility monitor shows ovulation
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Follow up: Dr. Sameer Kumar (0 minute later)
When it shows peak fertility my period does start 12 to 14 days after
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Follow up: Dr. Sameer Kumar (12 minutes later)
Sorry I forgot to mention I have had 4 x 80mg Triamcinolone injections when my periods changed. I had these injections for severe asthma.
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Follow up: Dr. Sameer Kumar (4 hours later)
My periods tend to be 7 or 8 days isn't this within the normal range
doctor
Answered by Dr. Sameer Kumar (13 hours later)
Brief Answer:
follow up

Detailed Answer:
Hello, ,
the fact that you had irregularity of menses and prolongation occurred post triamcinolone injections , so it is likely that they would regularise on their own. Most of the time the prolongation of menses is stress induced due to hormonal imbalance.
Sometimes clear blue is positive and yet one doesn't ovulate. The only confirmation of ovulation is an ultrasound. So to make a comment on ovulation a mid cycle ultrasound shall be mandatory.
Regards
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. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1780 Questions

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My Menstrual Cycles Are Pretty Regular Apart From A Couple

Brief Answer: polymenorrhoea Detailed Answer: Hello, Thanks for the query, As you are 45 and trying to conceive, and with cycles becoming irregular since last 6 months or so, with prolonged bleeding during menses, there are chances that you may be experiencing irregular shedding due to anovulatory cycles. So it s recommended that you may get your hormonal profile done ( AMH-ovarian reserve, LH, FSH, SERUM ESTRADIOL, SERUM TESTOSTERONE), Thyroid profile and serum prolactin levels along with an ultrasound pelvis to check for endometrial thickness ( to evaluate phase of endometrium). Please follow up with reports. Regards