Expert: Norman Solberg - 1/7/2010

Question
QUESTION: Hi I have secondary amenorrhea for over 10-15years. I am nearly 35 years old. I was on depoprovera. No periods. Then stopped in 1999. Had eating disorder and over-exercise. Still no periods. I do not want periods anyway so it is convenient. My FSH is 7.5U/L, LH 4.4 U/L, Prolactin 110 mU/L, Testos 1.0 nmol/L, DHEA Sulphate 2.0 umol/L, Albumin 41 g/L, Sex Hormone Binding is 73. I still over exercise and abuse laxatives for over 15 years. I have had unprotected sex about once a week or fortnight. My question is if I am still ovulating and if so, can I get pregnant (as I do not want to)? Many thanks in advance. Regards C

ANSWER: I think you're not ovulating, because ovulation causes a period to come 2 weeks later.  However, that doesn't mean that you couldn't ovulate next week.  However, if everything stays the same, pregnancy seems pretty unlikely.

---------- FOLLOW-UP ----------

QUESTION: Hi, thanks for the response. Just yesterday I found some blood coming out of my vagina. It is not flowing blood, but thicker, dark reddish and brownish like old blood. It is not consistent and not flowing out onto my underpants yet. I see it only when I wipe after urinating as it stains the white tissue. Is this something to worry about? I have never had this for over 10-15 years and only recently have this. Is this implantation bleeding? Am I pregnant?  

Answer
I think you need to get the bleeding checked out.  Since you haven't had a period for years, your uterine lining may have had some excessive buildup, which can lead to uterine cancer over time.  I would see a good OB/GYN to check it out to be sure you're not developing cancer or precancerous changes.  Best wishes.