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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Missed Menstrual Bleeding On Stopping Birth Control Pills?

Hello, I got off birth control last April, this month ( October) is the first month I missed a period. I ve had a terrible cough the past month and I m under a lot of stress for an upcoming move and I work freelance which can be stressful without much pay. I am not pregnant I took a test, I ve also dropped 5 lb since last month. I do worry because I ve had moments of amenorrhea in my life but it seems I ve been back to my normal cycle the past 6 mo, any advice or suggestions.
Wed, 11 Jan 2017
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OBGYN 's  Response
Hi,

It appears from your history that you had irregular menses previously also. You started getting regular menses due to the birth control pills. Now that you have discontinued pills, again you have started having irregular periods.

You seem to have some gross hormonal imbalance due to which you are getting irregular menstruation. Please get your hormonal profile (Oestrogen, Progesterone, FSH, LH, Prolactin, T3, T4, TSH) done which will reflect the issue. Also, get ultrasonography done to find out whether you are having Polycystic Ovarian Syndrome; though the chances are low since you are loosing weight. Since, you are not pregnant as revealed by pregnancy test, you may take some progestational preparation like Deviry for 5 days Within 4-7 days after discontinuing the pills, you will get menses.

However, please get investigated thoroughly to sort out the problem permanently. Please report to your Gynaecologist for a thorough medical examination to clinch the diagnosis and start the treatment.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Nishikant Shrotri
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What Causes Missed Menstrual Bleeding On Stopping Birth Control Pills?

Hi, It appears from your history that you had irregular menses previously also. You started getting regular menses due to the birth control pills. Now that you have discontinued pills, again you have started having irregular periods. You seem to have some gross hormonal imbalance due to which you are getting irregular menstruation. Please get your hormonal profile (Oestrogen, Progesterone, FSH, LH, Prolactin, T3, T4, TSH) done which will reflect the issue. Also, get ultrasonography done to find out whether you are having Polycystic Ovarian Syndrome; though the chances are low since you are loosing weight. Since, you are not pregnant as revealed by pregnancy test, you may take some progestational preparation like Deviry for 5 days Within 4-7 days after discontinuing the pills, you will get menses. However, please get investigated thoroughly to sort out the problem permanently. Please report to your Gynaecologist for a thorough medical examination to clinch the diagnosis and start the treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nishikant Shrotri