Friday, 29 May 2009

My answers to their questions

I want to end up with a diagnosis as soon as possible, so I am presenting them with anything in my history that might lead to a diagnosis.

Age: 29
Length of current relationship: 3 years
Trying to get pregnant: 12 months
Date of last menstrual period: 12 May
Age of first menstrual period: 13 years
Days of bleeding during period: 4 days then spotting for another 2 days
Length of periods: 26-32 days
PMS symptoms: Mild
Painful menses: Moderate cramping, one ibuprofen enough for relief
Bleeding between periods: No
Painful intercourse: No
Endometriosis diagnosis: No
IUD in the past: No
STIs: Tested in 2006, never detected
Did my mother take DES while pregnant: Nope, born after 1971
Breast discharge: No
Excessive hair growth: No
Previous pregnancies: None
Previous fertility treatments: None
Family history of disease: No
Sudden heat/Cold intolerance: No
Weight change: No
Hot baths: Warm baths every night
Exercise: 1 hour per week
Possible previous biochemical exposures: chance of sodium azide, ethidium bromide, Listeria, Shigella exposure
Drinks per week: 1-2 during follicular phase, 0 during luteal phase
Smoker: No
Contraceptive use: 1997-2003 BCP, 2003-2007 Implanon, Oct 07-Mar 08 BCP

Rubella vaccination: 1993
Pap smear: Feb 2008 - normal
Chicken pox: 1997
Blood type: O positive

Tests
LH tests: Positive result before ovulation
BBT: Thermal shift after ovulation, luteal phase ~ 14 days
Complete blood count: Normal
Serum ferritin: Normal
Thyroid stimulating hormone: Normal


Based on these answers, I think they should be able to rule out:

PCOS
Luteal-phase defect
Endometriosis
Pelvic inflammatory disease
Asherman's syndrom
Advanced maternal age



But there is still a possibility of:

Premature ovarian failure
Fallopian tube blockage
Cervival mucus defects
Fibroids, polyps
Pituitary tumour
Male Factor

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