Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Are The Possible Causes Of Not Having Periods For 4 Months In A 40 Year Old ?
Fourty year old, no period for over 4 months. Ultrasound showed everything was normal. Doctor wants to start provera to see if period starts. Also,left abdominal pain , nausea ,headaches, increase in urination frequency. Also, wants to send me to urology to check if something is wrong there. What are the possible causes?
posted on
Fri, 15 Apr 2011
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 15 Apr 2011
Answered on
Tue, 10 Jan 2012
Last reviewed on
User's Response
Dr. Suman Waldiya's
Response
Hi,
As Your Ultrasound is normal,You need following investigations:
TSH, to rule out thyroid problems
FSH, to rule out premature menopause.
Prolactin, to rule out a pituitary tumor which inhibits ovulation, and thus menstruation.
Estrogen and progesterone levels, to see if you're making the right hormones for cycle.
You are given a "progesterone" challenge test. If you're making estrogen, then if progesterone is given, then withdrawn should start a period.otherwise no estrogen is being made.
Treatment will depend on cause.
As Your Ultrasound is normal,You need following investigations:
TSH, to rule out thyroid problems
FSH, to rule out premature menopause.
Prolactin, to rule out a pituitary tumor which inhibits ovulation, and thus menstruation.
Estrogen and progesterone levels, to see if you're making the right hormones for cycle.
You are given a "progesterone" challenge test. If you're making estrogen, then if progesterone is given, then withdrawn should start a period.otherwise no estrogen is being made.
Treatment will depend on cause.
hello
thanx for healthcare magic
well there are many cause of disturbed menstrual cycle
tumour can be one of the cause,harmonal disturbance can be one of the cause
thyroid problm can be there
thats correct u may have renal pathology as well
ectopic pregnancy
u got to consult good gynaecoligist
thanx for healthcare magic
well there are many cause of disturbed menstrual cycle
tumour can be one of the cause,harmonal disturbance can be one of the cause
thyroid problm can be there
thats correct u may have renal pathology as well
ectopic pregnancy
u got to consult good gynaecoligist
I find this answer helpful
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Abdominal pain
Loading Online Doctors....