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I have had amenerhea after the pill and had not had a period since last April (9 months ago). My OB put me on progesterone to induce withdrawal bleed and is likely going to diagnose PCOS. She is supposed to call today but first labs showed a Fsh:lh of over 3:1 so it looks like PCOS. I am having a very painful withdrawal bleed on this progesterone. Started with right side pain, constant ache in pelvic region now, and pain during bowel movements/urination? Does this sound normal for a progesterone withdrawal bleed?

PAST HISTORY : Irregular perios, treated by birth control for 10 years. Since stopping BC, have had no periods in 9 months.

2 Answers

Dr. Puneet Madan answered : 12 years ago

Hi,

No, usually the pain is not there in withdrawal bleed due to progesterone unless it is accompanied by some other disease like endometriosis or may be some kind of haemmorage,but may depend from person to person.

You may also be a little more sensitive to pain,since you have not had your period since 9 months

Do you have any kind of burning micturition?
Do you have fever ?
Do you have constipation ?
Did you have such a kind of pain before when you were having drugs ?

Have plenty of water and a healthy diet to help you. You should inform this to your OBG

Feel free to ask more questions.

Patient asked followup Question: 12 years ago

I do not have fever or constipatin nor did I have this pain before the withdrawal bleed. I am feeling better this morning and OB nurse says probably normal and just take NSAIDs. I will try more advil and hoping it has finally let up and does not return. I was more worried about one of the ovarian cysts from the PCOS rupturing. But do not know how to tell. Since bleeding is like, is this unlikely?

Dr. Puneet Madan answered : 12 years ago

Hi,

Small cyst rupturing does not cause pain usually and since you are better with nsaids, you don't need to do anything and may continue with nsaids.

But haemorrhagic cyst are painful(extreme degree) and if your pain is not relieved by nsaids or you think pain is aggravating or it may be unbearable,it will be advisable to go for an ultrasound abdomen to rule out any kind of haemorrhage.

Feel free to ask more questions.

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Doctor's Answer

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