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What Causes Irregular Menstrual Bleeding And Abdominal Cramps In An Obese Person?

Posted on Fri, 26 Aug 2016

Question: Hello, I am 35 years old, overweight, no children and am not pregnant or on birth control pills. Since last October, been having irregular periods and spotting and off and on cramping. The doctor has ordered me to undergo an endometrial biopsy and am wondering if there is a big risk I could have pre cancer or cancer. (my mother had uterine cancer) I am really scared waiting to find out

Answered by Dr. Dr. Rakhi Tayal (2 hours later)

Brief Answer:
Investigations are needed.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
I can think of the following reasons for your abnormal menstrual bleeding -
1. Weight gain is a major factor .
2. Stress , anxiety, tension on the personal or professional front, late nights, erratic eating habits - do any of these apply ? They are all known causative factors.
3. Thyroid hormone abnormalities, a cervical or uterine polyp, lesions or erosions on the cervix, uterine fibroids, endometrial hyperplasia, polycystic ovarian syndrome - these are all some conditions associated with irregular cycles and sporadic heavy bleeding.
You should have -
1. Internal check up - per vaginum and per speculum
2. Pelvic ultrasound scan
3 . Hormonal levels - FSH, LH, TSH, Prolactin, OGTT, free testosterone, DHEAS, lipid profile.
4. A bleeding and clotting profile to rule out bleeding tendencies.
Endometrial biopsy and all these investigations will help in detecting the cause and then proper treatment. Please do not worry.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (4 hours later)

I am going in Monday for the biopsy and I think the worse part will be the wait on the results! Yes, I do struggle with an eating disorder and I suspect that has something to do with it but am trying to overcome that. Thank you for answering, I have no kids and hope it's not something bad because do want them in the future

Answered by Dr. Dr. Rakhi Tayal (11 hours later)

Brief Answer:
Biopsy is necessary.

Detailed Answer:
Hello.
Thanks for writing again.
It is best to get the biopsy done and remove all the doubts. The irregularity can be due to eating disorder.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Rakhi Tayal (2 hours later)

Thank you doctor, did the biopsy today and transvaginal sonogram came back normal but thickened endometrial stripe so I hope it is not worrisome. The doctor doesn't think I have it but I suppose checking to make sure

Answered by Dr. Dr. Rakhi Tayal (4 hours later)

Brief Answer:
Not worrisome.

Detailed Answer:
Just a thickened endometrial stripe is not worrisome. It is likely to be normal.
Regards.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Rakhi Tayal (1 hour later)

thank you doctor and I appreciate all the responses. Stay blessed!

Answered by Dr. Dr. Rakhi Tayal (6 hours later)

Brief Answer:
Welcome.

Detailed Answer:
Hello.
Thank you.
I am happy I could help.
Please do recommend our services to others too in case you found them helpful. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Wishing you the best in whatever you do.
Best 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. Nagamani Ng