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Common Menstrual Concerns

  • Healing the Menstrual Cycle in PCOS

    It is difficult living with PCOS or Anovulatory Androgen Excess (AAE) Current understanding PCOS is difficult to treat and can never be cured “The Pill”, combined hormonal contraceptives (CHC) of high estrogen/progestin is our best currently available and scientifically proven PCOS therapy Metformin is an important and safe medicine that acts to make insulin work…

  • PCOS & Heavy Flow – Cyclic Medroxyprogesterone or the Mirena® IUD?

    I am a health care provider wishing to treat PCOS and menorrhagia in my patient. Current clinical practice where I am is to offer the Mirena® IUD (long term levonorgestrel). What are the pros and cons of using cyclic medroxyprogestrone versus the “Mirena® IUD” in treating these conditions?

  • I’m 49 – why am I getting even more facial hair now?

    I’m getting increased facial hair even though I’m using laser therapy! I am 49 and just started skipping periods—I seem to alternate between a skip and two periods a month (!) with lots of stretchy mucus and constant breast pain. I don’t have PCOS and I’m not heavy. I first had a problem with facial hair when I was 24. I associate this starting when I was put on a progesterone only pill for painful periods.
    Would the hair get even worse if I took progesterone again now?

  • Can a Blood Test Tell Me Whether I Am in Menopause?

    There are several hormone levels that physicians may suggest ordering. For health care providers (HCP) these may include estrogen (our own estradiol is what laboratories can measure), luteinizing hormone (LH) or follicle stimulating hormone (FSH). In general it is reassuring to have a test ordered because your doctor doing something and that makes us feel…

  • Do Fibroids Cause Heavy Flow in Perimenopause?

    In this article written for Ask4UFE, Dr. Jerilynn Prior weighs in to clear up some of the popular assumptions and misconceptions about uterine fibroids and their association with heavy menstrual flow during perimenopause.

  • Activity level, Cramps and Heavy Flow

    I used to play a lot of sports between the ages of 13-17 and my period was always regular with a normal amount of flow lasting between 3-4 days at max i never used to get cramps and my period was not an experience that i would ever dread as it was easily controllable. I now am 19, not as active and suffer from severe cramping, a high flow and periods that last up to 8 days. They sometimes are not as regular and do come as often as every two weeks. What should I do?