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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Cancer Treatments Previously. Did Not Have Periods. Now, Having Irregular Periods, Sulphur Smelling Menstruation, Severe Migraines. Reason?

Hello...My question is kind of embarrassing, but I have some concerns. In 2007, I had cancer treatments which included a radical left nephrectomy and radiation therapy . About midway through radiation therapy, my periods stopped. They returned for a short time, during which time I became pregnant, then disappeared again. For four years, I had no periods. They have returned, they are irregular, my menstrual blood smells like sulphur, and I ve been getting killer migraines. Any idea what s going on?
Thu, 24 Oct 2013
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OBGYN,  's  Response
Hi,

Please do not feel embarrassed. Your question is perfectly fine and very relevant.
The return of periods after 4 years of complete absence needs to be investigated. I suggest you see a gynecologist, get yourself examined. The bleeding may be due to menopause and as a result a thinning in the endometrial lining due to very low hormone levels [endometrial atrophy in medical terms ] or may be due to a malignancy. If a patient like you walks into my clinic, I would also do a ultrasound of the abdomen and pelvis and an endometrial biopsy along with tumor markers like a CA125 or any other that you may have had evaluated before nephrectomy to check for recurrence.

For the headache you must consult a neurosurgeon as again the recurrence of the primary tumor needs to be ruled out. You may need a CTscan of the head done for this.

Hope you find it useful.
Thanks for using HCM.
Dr. Madhuri Bagde
Consultant Gynecologist and Obstetrician
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Had Cancer Treatments Previously. Did Not Have Periods. Now, Having Irregular Periods, Sulphur Smelling Menstruation, Severe Migraines. Reason?

Hi, Please do not feel embarrassed. Your question is perfectly fine and very relevant. The return of periods after 4 years of complete absence needs to be investigated. I suggest you see a gynecologist, get yourself examined. The bleeding may be due to menopause and as a result a thinning in the endometrial lining due to very low hormone levels [endometrial atrophy in medical terms ] or may be due to a malignancy. If a patient like you walks into my clinic, I would also do a ultrasound of the abdomen and pelvis and an endometrial biopsy along with tumor markers like a CA125 or any other that you may have had evaluated before nephrectomy to check for recurrence. For the headache you must consult a neurosurgeon as again the recurrence of the primary tumor needs to be ruled out. You may need a CTscan of the head done for this. Hope you find it useful. Thanks for using HCM. Dr. Madhuri Bagde Consultant Gynecologist and Obstetrician