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Bone, joint, and muscle disorders, Chronic pain, Healthy Aging, Healthy Living, Women's health issues

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Thu, Nov 7 8:49am · Possible uterine polyps in Women's Health

@lioness has some very good advice regarding guarding against anemia. You won't believe this but I drove myself to the ER with a hemoglobin level of 4 when I had my bout of anemia. They made me stay there overnight and gave me transfusions. Never found out what the cause was but I still get checked every once in a while. Dr. said I probably had it come on slowly and learned to tolerate it which is why I did not just keel over. But they were shocked about my hemoglobin level and actually rechecked it because they found it hard to believe. The iron tablets should help a lot. Also you might want to check your ferritin levels. Ferritin is a protein that stores iron in your body and this test will help you to make sure you are storing iron properly if you have been mildly anemic. I think you are asking all the right questions so please take care and keep us posted.

Wed, Nov 6 10:47am · Possible uterine polyps in Women's Health

Hi @vogelkm
I am so sorry that you are having this bleeding and also that you have to wait so long to find out the cause. I am quite a bit older than you and am post menopause, but I had a bout with bleeding a couple of years ago brought on by a pessary that was inserted for my prolapsed bladder. If you don't know what that is, no need to know. But briefly, any of the pelvic organs can drop down due to weakening of the ligaments that hold them up. In my case it was the bladder and my doctor had inserted a pessary which is device to lift the bladder back up to it's normal position. It turned out that the pessary was rubbing and causing my bleeding. Since you had the IUD and now it has been removed and the bleeding is tapering off, it sounds as if the IUD may have been causing some irritation and thus bleeding. With the polyps and the IUD, it could be the IUD was causing rubbing or irritation to the already irritated situation of the polyps. In my case, it took quite a while for the bleeding to taper off after the pessary was removed. And I had to be very limited in my physical activity or it would start up again. I ended up having my prolapse repaired because I could no longer use the pessary. And I have had no bleeding for a couple of years now. I draw the parallel here simply to point out that it can take quite a while for bleeding to stop even after the irritant (in your case possibly the IUD) is removed.

Seems as though they are not overly concerned due to the results from your biopsy showing no malignancy. So that hopefully can help you to think positive. I am not a doctor but I think if they thought it was terribly serious you would not be waiting two weeks to get back in there. But still I understand that the bleeding is scary and annoying as well as concerning when you don't know what is causing it. I would not hesitate at all to call back if you begin to feel the slightest bit weak, light-headed or otherwise ill. I had a history of anemia prior to my bleeding and so I had to be very careful and monitor my situation. Once you do figure out what is causing the bleeding and once it is stopped, I would follow up with some blood work just to check and make sure that you are not anemic or having any issues as a result of the bleeding since you said you have had irregular bleeding for a while now.

Please take care of yourself and keep us posted on what you find out. You are doing the right thing to gather as much information as you possibly can from this and other sites.

Tue, Oct 22 8:03pm · Can someone help me in Women's Health

I am so sorry you are going through this. I have had something like this in the past and I just want you to know that you can get through it. Finding out what is causing such a myriad of symptoms can be difficult and might involve a number of different doctors plus your parents, your friends and even perhaps a professional counselor to help you deal with the symptoms until you get it figured out.

I would tell your parents that you want to go to your primary care doctor and have him/her do a complete blood workup on you. This would include a CBC (complete blood count), a metabolic panel, thyroid tests, and other blood tests to test for autoimmune disorders such as rheumatoid arthritis, lupus, etc. If you can rule some things out then it will be easier to handle your symptoms as you try to continue to get this figured out. Do you have health insurance that can assist in getting some of these tests run ? You may have already done this but if not, this is where I would start. Once you get these results back, you may find out what is going on. Or you may feel some amount of relief that you have ruled out many of the serious causes of your symptoms.

I have to say I am very impressed that someone of your young age would seek out a forum such as this to try to find answers. I do not know too many 12 year olds that would have the presence of mind to reach out as you have. You should know that you have taken a very good first step. If by chance you do not have a primary care doctor that you are comfortable with, I strongly suggest you talk to your friends or family to gain a referral to a good and caring doctor to go to for testing. I have learned that being able to talk openly with your doctor is very important, particularly when trying to diagnose very difficult symptoms.

Please stay in touch with us here at Mayo Clinic Connect. We are not doctors but many of the people here know about a lot of resources that may be helpful to you.

Take care of yourself and have faith that you will figure this out even though it may take some time.

Wed, Oct 16 8:55am · late onset of menopause in Women's Health

You sound like me. I have a back issue that keeps me from exercising a lot. I did dance for 25 years so I do have a fair amount of muscle but then there is the tummy and hip area. I just finally got the synthroid (levothyroxine) regulated after finding my thyroid on the high end of normal this past year. My TSH was over 4 and with the medicine it is now a little over 2 so it is helping. I do feel better but wish my back pain did not prohibit my movement on certain days.

I also was reminded that having estrogen for longer also helps bone density so that is another positive for you. The thyroid removal may very well have something to do with your situation. I would bring that up with the doctor if you have not already. And it may be good to see your thyroid doctor to talk about it rather than just primary care.

There is a Diabetes and Endocrine System Group here on Mayo Connect and you might take a look there (if you haven't already) and even post something asking if anyone has had their thyroid removed and knows anything about how this affects onset of menopause. This still does not substitute for talking about this possibility with your doctor but it is another resource and people on here are so good about sharing their own experiences.

I am new to the thyroid issue area since I was just diagnosed this year. But I am finding that it affects so many things and it explains a lot of things I had noticed. Just about the only symptom I did not have is hair loss which is quite a common one I understand. I have lost a couple of pounds since being on the levothyroxine but not as much as I would like. Isn't that always the truth!

Tue, Oct 15 9:21pm · late onset of menopause in Women's Health

I actually came across something this afternoon when looking for something else on laparoscopic surgery. It is a blog that a gynecological surgeon from Australia posts regarding various issues in his field. His name is Andreas Obermair and he posted a blog where he pointed out some of the benefits of late onset menopause. His point was that even though there is a slight increase in the risk of ovarian and breast cancer due to estrogen production for a longer period of time, there is a decrease in risk of stroke and heart disease. He summarized some research showing that women who have longer reproductive lives are more likely to live well into their 90's. So it is not all bad news for sure.
Here is a link to the article/blog https://www.obermair.info/latest-news/blog/late-onset-menopause/

I do recall that there are some medical issues that can cause later menopause including thyroid issues and being overweight. Have you had a complete physical recently including checking your thyroid?

I feel sure that there will be some folks on here who will see your post and have more to offer than I do. The Moderators are more familiar with a lot of the Mayo resources than I am as I have only been Mentoring for a little less than a year. After your post is up for a while I would think you will get some additional perspectives from others.

Tue, Oct 15 12:16pm · late onset of menopause in Women's Health

@colleenyoung @lisalucier,
@cwms has posed a question that I have not seen before on this forum regarding late menopause. Do you know of any resources that might be able to assist her? I will look for a few things but thought you might be able to point her in the right direction since it looks like her doctors have quite differing opinions on the subject.

Tue, Oct 15 12:06pm · late onset of menopause in Women's Health

I never had my FSH or Estradiol checked but I did not finish menopause until about 57. It was unusual as both my mother and her mother went through it quite young (late 30's and early 40's). Neither had cancer or other related issues that I know of. I did not have children and of course they did so that is one difference. I did not have regular periods the last two years and even when they were regular they started to change.

I had my periods get a lot lighter and further apart but in a regular way (something like every 36 days as opposed to my usual 26 days that I had experienced most of my life. I also began having terrible PMS which I had not experienced much in my younger days. Have your periods changed at all? I ask because they usually get closer together or farther apart, maybe lighter or heavier, but there usually is a change. I literally had night sweats for more than 10 years and also started to get migraines during what I look back upon as peri-menopause. I had gone to a neurologist about them and she told me she thought they were early menopausal symptoms and sure enough, after I completely stopped my periods, the migraines completely went away. Any such symptoms in your case? How is your health otherwise?

It is likely that others on this forum may have some resources they can suggest for you (research, doctors, etc.). Unfortunately I can only tell you that I did go through menopause extremely late as well but there were signs of it as I mention above. Let's see if any of the moderators know of any Mayo resources they can point you to.

Thu, Oct 10 4:10pm · Want to discuss prolapse bladder or any kind of prolapse in Women's Health

@gardeningjunkie @veronicat

I don't recall any mention of a sling in my surgery. I had mesh for the bladder prolapse and the mesh is anchored to your sacrum I believe. I was tested with the urodynamics test to see if after the prolapse were fixed I would likely develop incontinence since he suspected my prolapse was just masking some incontinence. I was told I likely would, so I think he explained that he did something else to try to correct for incontinence (to keep me from having to go back and do this later in a second surgery). I thought this was done by doing something to the urethra (maybe shortening it) and he said he is about 75% effective in eliminating the second surgery by anticipating/guessing how much adjustment to make. I have not had a second surgery so I guess he did an okay job. But I don't think there was a sling involved in my adjustment. I suppose some people might think of the mesh anchored to the sacrum that holds the bladder up as a type of sling (that is what I always thought people meant when they referred to a sling). I think I will try to look into this and see what the "sling" procedure might be.