Does irregular and heavy menstrual cycles affect fertility?
Patient's Query
Hi doctor,
I am trying to conceive for the past six months. So, I keep tracking my period on my phone. My usual cycles were around 30 days. Before two months, my cycle lasted for 43 days and I thought I was pregnant. But, I was not and had a period that was heavy and passed several clots. After it was over about two weeks went by and then I started spotting brown. It lasted for almost three weeks straight now and it has not stopped at all. It has remained very light the whole time.
Yesterday, it got really heavy and red again, so I thought it was my period coming around but today it has stopped. It is just light spotting. This cycle now has been 46 days long. I am not sure what is going on. I am really worried because before now my cycle was always normal for around 30 days. I had been to a gynecologist for painful periods before and he told me that I had cysts on my ovaries and may possibly be getting endometriosis. Before that I had been somewhere else and he told me that I had hormonal imbalance. Did you get any clue what is going on? Should I be afraid that I am not fertile? The longer cycles and constant spotting really worries me.
Please let me know your opinion.
Hello,
Welcome to icliniq.com.
You seem to be experiencing period irregularity for the last two months, during which I believe your stress levels have been high, which could have delayed your menses. The presence of continued spotting from the mid-cycle to date in this cycle is possibly due to serum progesterone deficiency or luteal phase defect (the phase after ovulation and before menses). The presence of ovarian pain was probably indicative of ovulation, called mittel schmerz, which was a normal guess. Anyhow, you need to get a pelvic ultrasound to rule out any adnexal masses or even PCOS/PMOS (poly-metabolic ovary syndrome), which can often be a cause for infertility in women of reproductive age.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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