No period after pill??

posted 2 weeks ago in TTC
Post # 2
Member
615 posts
Busy bee

I’m not sure how helpful this will be as I haven’t had that from coming off of birth control, but I have lost my period for extended periods of time (while not on bc) and it did eventually come back.

When I was 16 I lost it for about 6 months, I think due to stress and eating improperly. It eventually came back on its own. Then I lost it again in my early 20s for about two years due to an eating disorder. The dr. gave me some kind of medication to get it to come back, but before I could take it, it came back on its own. My fertility was not affected by it and I have a clean bill of health. 

Do you have very low body fat, overexercise, or eat irregularly? I know that can contribute in some cases. It happens to some high level athletes. And has your Dr. tested for PCOS? 

You could also give the medication a go. I didn’t take it myself, but it was recommended to me. 

Post # 4
Member
615 posts
Busy bee

My BMI was actually in ‘normal’ range when it happened, but my body fat was very low. BMI isn’t the best indicator of healthy weight because it doesn’t account for your frame or muscle mass at all. BUT if you eat a healthy number of calories each day (including exercise output) that’s likely not the case. 

The PCOS test usually involves a few things and can be difficult to diagnose I think. Blood tests will measure your hormone levels, and pelvic exams will check for cysts. You don’t have any of the other symptoms, so I wouldn’t stress about that too much, but I very much understand being impatient/anxious about knowing, so it wouldn’t hurt to ask your dr. 

Again, just want to reiterate that I’m no expert, these are just my personal experiences! I wouldn’t stress about it too much since your Dr is on it and doesn’t seem too concerned. Hypothyroidism can cause irregular periods, so I’d maybe try the synthroid if that was his recommendation? 

Post # 5
Member
1345 posts
Bumble bee

Your doctor annoys me. If men had something that was supposed to happen each month and it didn’t for six months, you can bet your bottom dollar they’d have ALL the tests done and the doctor would be right on it. Women’s health issues are so often brushed aside. It is not normal to lack a period for six months, and your doctor should figure out why this is happening before he just prescribes a drug to induce ovulation. Tell him to test your LH, FSH, AMH and testosterone levels. Those can be used to help diagnose PCOS. Might as well test estrogen and progesterone, though they depend on where in your cycle you are. I have “lean PCOS” and my doctor dismissed my lack of ovulation because I’m thin and don’t have the typical symptoms of it, but then when I miscarried and my ovaries had dozens of cysts, it was pretty hard to ignore. Lack of ovulation is a MAJOR symptoms of PCOS. Thyroid issues are common with PCOS too. Unfortunately when it comes to reproductive health, you’ll really need to advocate for yourself 

Post # 7
Member
1345 posts
Bumble bee

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@greenkate09:  With regard to LH and FSH: it’s not the numbers themselves that are relevant in PCOS diagnosis, it’s the ratio. In the first half of the cycle, the ratio of LH: FSH should be roughly 1:1. But in PCOS, the ratio is often more like 3:1, even if both numbers are within the normal range. That’s why you’ll want them both tested so they can be compared to each other. 

Your thyroid could also be screwing things up. TSH should be below 2.5 when TTC and through the first trimester- levels higher than that, even though up to 5 is generally considered “normal”- are associated with infertility and an increased risk of miscarriage. 

Post # 8
Member
5940 posts
Bee Keeper

Is this an OB GYN? I ask because there  should be things to test for or fertiluty tests.  When we TTC I know I’m not going to want to just wait around.  Then again I’m older.  Perhaps a second opinion if you’re up for it? 

Post # 9
Member
178 posts
Blushing bee
  • Wedding: January 2016

That’s rough! I was on the pill for 6 or 7 years and stopped at 21 (started for acne). 

I remember my cycles were whack, and some took 40+ days however they had really improved and became regular after six months. The fact it’s been six months with no period certainly doesn’t seem right to me. I definitely think it’s worth more investigations, and also agree with other bees who’ve mentioned very low body fat as being a potent contributor. Our bodies make a lot of hormones in fat, and low body fat can affect our hormones and make your body stop ovulating as well.

In addition to ongoing medical investigations, maybe it could be worth tracking your daily food intake and exercise for a week or two and seeing what your average calorie intake and expenditure is? I’ve had some friends who didn’t realise they were under eating as they just ate when they were hungry but they were eating like <1000cals a day!! They had to go see a dietician to figure that out, but seems relatively easy to do yourself for a week or two. 

I hope you guys some answers, and your period back soon! ♥️

Post # 11
Member
178 posts
Blushing bee
  • Wedding: January 2016

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@greenkate09:  oh yeah, if you’re eating that much and only doing a normal amount of activity that should be ok… I agree from what you’ve just said that doesn’t sound like your issue… Hmmmm. It certainly seems like it warrants further medical input, but hopefully it just arrives sooner rather than later as your hormones normalise 🤞 so annoying to have to wait for this!

Post # 12
Member
5940 posts
Bee Keeper

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@greenkate09:  ok that surprises me that he’s an OB I had hoped it was your GP. That is so frustrating to me.  And i would also be irritated. Have you called back to say you don’t want to wait longer?  This is assuming you don’t want to wait.  I won’t tell you what your should or shouldn’t do.  I don’t know what I would do tbh. Just if I wasn’t happy I’d ask for options and if they blew me off I’d ask for a second opinion if I was able.  

Post # 13
Member
238 posts
Helper bee
  • Wedding: February 2021

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@greenkate09:  I was on BC from age 16-31.  When I stopped my period did not return. Full stop.  After many months of me contacting my doctor as hearing “Just wait, its normal” they finally did testing and found out that I have POV, Premature ovarian failure i.e. No Eggs, no ovulation. I also began having hot flashes because I was in full menopause.  The hormones on the BC pill covered up my symptoms. I was 32 at the time of diagnosis and a newlywed.

I do not want to scare you but I really did have the worst case scenario outcome. DEMAND all of the testing you can to find out whats going on. My diagnosis came from a fertility clinic doctor with a second opinion from top rated GYNO.

If you look at my profile I posted this topic during my original issues in 2013.

 

Post # 14
Member
238 posts
Helper bee
  • Wedding: February 2021

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@MrsJM:  Forgot to add that I have been on HRT (Hormone replacement therapy) since 2013 to reduce my odds of cervical cancer.  I have “Fake” periods via Progesterone monthly. The HRT took my body out of menopause with no symptoms.  I have a 0-1% chance of pregnancy.  I am also 40 now so that would be a shock!

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