Doctor insights on:
Lupus And Menstruation
The menstrual cycle begins with the shedding of the uterine lining, resulting in bleeding from the vagina. A few weeks later, one ovary releases an egg and the uterine lining thickens in preparation for a potential pregnancy. Pregnancy can occur at this stage if sperm fertilizes the egg. If the egg is not fertilized, the egg will leave your body and ...Read more
Cramps, no blood, breast tenderness, not sexually active...diagnosed with PCOS by blood tests and irregular menstruation but no ultrasound. Any ideas?
Hepatocellular disease, seizures, low blood count, anticardiolipin antibodies, arthritis, rash on hands and numbness in legs. What does this all mean?
Auto-immune disorder: You have described features of auto-immune disorder. For example, a person with lupus could have all these features. You need evaluation and treatment by a physician in consultation with specialists in more than one field. ...Read more
+ANA protein and blood urine achy knees elbows hands now tongue blisters all lupus test neg. Family history of lupus. Could it still be lupus?
If symptoms are mild: Lupus patients with their disease in remission or well controlled can work, but lupus patients with active disease will be having many symptoms that make it too difficult to work. Lupus patients with raynaud's phenomenon would not be able to work in jobs with cold temperatures (such as ice cream sales) or vibrations (such as hammer-drilling) if those activities trigger vasospasm. ...Read moreSee 1 more doctor answer
PCOS usually causes: menstrual irregularity. Often, the small ovarian follicles that are formed do not trigger ovulation and the reproductive hormones--estrogen, progesterone, etc--become imbalanced. Irregular or absent periods result. The uterine lining may become thicker and shed irregularly resulting in heavy bleeding when it finally occurs. One would not want to increase this blood flow further, causing anemia. ...Read moreSee 1 more doctor answer
Can methotrexate and sulphasalzine cause neutropenia.I have RA and low blood count, blood tests every 2/3 weeks. What happens next?
Yes: Both Methotrexate (mtx) and sulfasalazine (ssz) can cause a drop in the white blood cell (WBC) absolute neutrophil count (anc). Mtx pi p. 8 http://www.Pfizer.Ca/en/our_products/products/monograph/280 -- ssz pi p.3: http://labeling.Pfizer.Com/showlabeling.Aspx?Id=524 - why every 2-3 weeks depends on dosing. If continuous dosing then this is harder to explain. More info needed. Possible bmb. ...Read moreSee 3 more doctor answers
I have mild SLE (no organ involvement), only on Plaquenil (hydroxychloroquine). No antiphospholipid antibodies, high BP or f. history of blood clots. Is birth control safe?
Probably safe: Per Uptodate Oral contraceptives containing low levels of estrogen are probably safe in patients with mild well-controlled SLE. Avoid use in pts with with increased risks of clotting. Patients with anti phospholipid antibodies, nephrotic syndrome, hx of thrombophlebitis, CAD, migraines, smokers. uncontrolled HTN. Of course weigh the risks and benefits with your personal Doctor. ...Read more
What can cause full body weakness and cold extremeties and not show up in blood tests? Cbc mp Lyme muscle breakdown thyroid auto im all neg
What could be the cause of petechaie, heavy period, prolonged temperature of 99.5, and weight loss with a normal CBC , negative mono, CMV, and EBV?
Bleeding disorders: Disorders such as vonwillebrand disease and sometimes liver issues can cause symptoms as you've descrubed. see your doctor for further testing. ...Read more
What can cause 2 full on heavy menstrual periods 3 days apart.? with occasional spotting in between, previous smear and sexual health tests normal?
Frequent periods: Many possibilities. Be sure you are not pregnant. See your doctor as soon as you can. ...Read more
Can I still have lupus if my ANA and other antibodies are negative except the cardiolipin IgM and lupus coagulant! I have all the symptoms for lupus.
Yes,amongst other Dx: Anti-cardiolipin antibodies are antibodies often directed against cardiolipin & found in several diseases, including syphilis,antiphospholipid syndrome,livedoid vasculitis, vertebrobasilar insufficiency,Behçet's syndrome,idiopathic spontaneous abortion,] and systemic lupus erythematosus(SLE).They are a form of anti-mitochondrial antibody. In SLE,anti-DNA Abs &anti-cardiolipin Abs act independently ...Read more
Can topamax (topiramate) cause dilupus? On plaquenil/nifedipene for raynaud. And have extreme swelling. Low complement. Headaches/dizziness.
No: I have never seen discoid lupus be caused by topamax (topiramate), (topiramate) but discoid on occasion can transition to systemic lupus. If you are having swelling of your lower extremities, you need to see your rheumatologist as soon as possible. If swelling of lower extremities is present with elevated blood pressure, that may explain the headaches/ dizziness or the headaches/dizziness could be side effects of topamax (topiramate). ...Read more
Difference between implantation bleeding and start of period?? Does cramps, backaches, and tender breast occur with implantation?
Implantation bleedin: Hi, light cramp is common with implantation bleeding, along with Short, brief spotting. ...Read more