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Date of last update: 10/14/2017.

Forum Name: Gynecology

Question: Cessation of menstrual periods - Help!

 Punch - Fri Sep 30, 2005 4:02 pm

Any insight welcome.

My wife aged 41 came off the pill 30 months ago, after 20 years (with the exception of 2 years for the birth of our 2 children). Since the month she came off the pill her periods have stopped (almost like clockwork). Shes now concerned about the possible longer term effects such as brittle bones etc. Initial blood tests show nothing abnormal, smear due back in a couple of weeks. She has no other symptoms from the lack of periods, such as pain, discharge etc, Only thing possible is a bit of dry skin over the past year, particularly scalp.

Is this lack of period abnormal in this circumstances, any insight would be most appreciated.

Kind Thanks
 nurodude - Fri Sep 30, 2005 6:17 pm

There are a few possibilities, all of which are hormonal in nature. The fact that your wife was on the pill so long isn't the issue, but she may need to restart them to correct her cycles. She is no doubt approaching menopause which may also account for her cessation of cycles. Yes, even at her age. If you want answers, go to a gynecologist or endocrinologist and have them run hormone profiles on her. Also, if you are concerned about brittle bones she needs to have a bone mineral density test performed to see if she has osteopenia (precursor to osteoporosis) or osteoporosis. Regardless, because of her age I would suggest she start on 1000 to 1500 mg of calcium with vitamin D daily. Anything less than this is not useful. Some women who are very osteoporotic also need a biphosphanate in addition to drive the calcium into the bone. You didn't mention any other pre-existing conditions she may have or medications she is on.

Dr. C
 Punch - Fri Sep 30, 2005 6:49 pm

Thank-you for your help.

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