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Dear Posters

Please advise with respect to the following. Please mail me if you need more information. Any help is appreciated. Thank you.

Problem: No menstruation from Aug 2009 to Jan 2010. No sexual interactions of any kind from April 2009 - Nov 2009. Protected (condom) sex a couple fo times from Nov 2009 to Jan 2010. Started spotting continuously from Jan 2010 to Mar 2010. In Mar 2010, blood work came out normal except FSH and LH levels were reversed. Physical exam was normal. Was prescribed generic form of Provera (10 mg/day for 10 days) to induce period and Loestrin 24 Fe to make periods regular. Spotting stopped as soon as I took Provera. 2 days after stopping Provera, period started (Mar 6). Doc recommended starting Loestrin 24 Fe on Mar 7. First pack of Loestrin gets over tomorrow but bleeding has not stopped since Mar 6. Transvaginal ultrasound 2 days back came out 'normal' -endometrium was as thick as it is supposed to be for this stage of the cycle. Bleeding pattern- changed Kotex overnight pads every 4-5 hours during the first week, every 2-3 hours in the second week and every 6-12 hours during week 3. Today is week 4. So far same pattern as week 3. No cramping at all during this entire time. Some lower back pain. Large blood clots during Week 1 and especially Week 2.

Age : 30 years old

Weight/Height: 180 pounds, 5 feet 0 inches

Sex: Female

Start of menstruation: 12 yrs. Regular 28 day cycles with predominantly moderate levels of bleeding for 3-5 days each time and some occurrences of temporary heavy cramping. Menstruation stooped for 3 months at 18 (cyst diagnosis. resolved with medication), 3 months at 24 (low thyroid level diagnosis. self-resolved) and for 6 months from Aug 2009 to Jan 2010.

Medical History: 1. Diagnosis of small ovarian cyst (s) in left ovary at 18.
2. Low thyroid levels at 24. 3. Insignificant (size) microadenoma of the brain at 24. Cysts resolved with medication. Never treated for low thyroid levels. Treatment was not recommended for microadenoma.

Birth control: On Yaz from Nov 2007 to Dec 2008. No bleeding during withdrawal pills. One occurrence of bleeding on active pills in Nov 2008. After stopping Yaz, natural menstruation took place in Jan, Feb, April and August of 2009.

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Hello! Since your doctor has put you on Loestrin, it is actually supposed to lighten your periods! I know you have been on a roller coaster, but sometimes it can take upto 3 months for a BCP to regulate your periods! Since your ultrasound showed that you are fine internally, then I am sure that it is just your hormones that need to be balanced! I know that Loestrin is a VERy good regulator and there isn't many complaints about it! So just give it awhile longer OK? Good luck and health!
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