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Question
Posted by: Moi | 2009/12/02

no periods

I stopped the pill earlier this year, and had normal periods for two months and then they stopped having them completely in July. A visit to my gynae revealed that my progesterone levels were zero and my insulin levels elevated. The ultrasound was normal.My doctor prescribed clomid but having read the potential side effects, I am reluctant to use it. Are there any other options? I am at a healthy weight, follow a healthy diet and exercise regularly. Also, was the insulin test done correctly?It was labelled as a fasting insulin test but conducted about 30 minutes after I had lunch and I was not requested to fast beforehand. Kindly advise.

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Our expert says:
Expert ImageFertility expert

Dear Moi

Certainly the insulin test was done incorrectly and should be strictly fasting insulin level with a minimum fasting interval of 10 hours. There are many reasons for absence of menstruation and these needs to be individually assessed. Common causes include thyroid abnormality as well as hyperprolactinemia (increased prolactin levels). Other causes such as polycystic ovarian syndrome as well premature ovarian failure or premature menopause should be investigated for. Should all these factors be normal then local cause inside the uterus should be investigated.

Answered by: Dr M.I. Cassim

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Our users say:
Posted by: Fertility expert | 2009/12/09

Dear Moi

Certainly the insulin test was done incorrectly and should be strictly fasting insulin level with a minimum fasting interval of 10 hours. There are many reasons for absence of menstruation and these needs to be individually assessed. Common causes include thyroid abnormality as well as hyperprolactinemia (increased prolactin levels). Other causes such as polycystic ovarian syndrome as well premature ovarian failure or premature menopause should be investigated for. Should all these factors be normal then local cause inside the uterus should be investigated.

Answered by: Dr M.I. Cassim

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