Seriously, not for dudes.
I have PCOS. I’ve never gotten my period on my own, so I’ve been on the pill since I was 13 or so. The BC Pill I take Lo/Ovral which is “a combination of ethinyl estradiol and norgestrel.” In 2011 my doctor gave me the OK to take the pill continuously and get my period every 3 months. That worked, I did that.
I’ve been lifting and doing cardio for about 3 years now, very regularly. In the first 2 years I wasn’t watching my diet so I didn’t lose weight, I just maintained (or gained!)
So in January 2012 I started with the diet and losing weight, and continues with the working out. I got my period in January, unplanned, but went on the placebos for a week and let myself uhm “bleed out.” Then for like 4 months, I had spotting every day. It sucked. My gyno said it was probably because the pharmacy switched generic brands of the Pill, so she got me back on the original generic, had me get my period a couple times, and all seemed well. But by then the year was up and I still hadn’t had a chance to see a pattern in my cycle.
Now this year I’ve finally figured it out…my period is coming every 3 weeks, despite me taking the pill (meaning I am taking the active pill, not the placebo, and I am getting it). If I continue to take the pill through what should be my period, I just spot bleed forever. This is what was going on all through 2012 - not affected by the generic switch.
If I go to the placebo for a week when I start bleeding at the beginning of my 3-week cycle, I end up having a normal period with full bleeding, then 2 weeks of not bleeding while taking the active pill, and then here comes my period again while taking the active pill.
This has happened 3 cycles in a row now.
Oh, also I had trans-vaginal ultrasound last year (yay me!) and they thought my lining was thick. So they gave me one of those procedures where they do an ultrasound while they fill your uterus with saline for a better picture, and decided my lining was fine. But holy canoli was that not fun…Anyway, my lining is right and AFAIK there’s nothing hinky going on that an ultrasound would see.
I also get my thyroid tested all the time since I’m so fat, and so far it’s never come back poor.
So now you know the story, here are my questions:
Is it worth a trip to the gyno? Or is this just a “oh well that is your cycle!” thing.
Since I’m losing weight, have PCOS and take metformin, would an endocrinologist be helpful to me? I keep thinking the same doctor should be monitoring my metformin and BCP instead of my regular doctor and gyno.
The big question is…does bleeding regularly “despite” the pill have any bearing on fertility? How closely are your uterine lining and eggs related? If I am bleeding does that automatically mean I released an egg prior, or are they not as related as that? I don’t WANT to be more fertile, that’s for damn sure.
Does this extra bleeding mean anything in regards to endometriosis? I don’t have it but my 2 female cousins have it big time.
Seriously, how bad is a hysterectomy? I’m almost 35, I do not want children, I hate having to care for a uterus. What are the ramifications of a girl with PCOS being without one?
Sorry to ramble. I just need some help trying to decide what doctors to spend money on. Thanks, America.