POPLYPS in vagina, irregular periods, pains in uterus. Cause.

Resolved question:
I have been having irregular periods for four years following the birth of my youngest child. I had cycle every month until after she was born. Now I go anywhere from 3-7 months between cycles. I am not on any form of birth control. I am 25. I also recently discovered a few large and a few small polyps inside my vagina. Occasionally, I experience sharp pains in my uterus. They don't last long, but they occur different areas when they do occurr. I gave had several sexual partners though I am not currently sexually active. Throughout the past 4 years I have had 6 partners. Always used protection. Was always in monogamous relationship with them. Is there any correlation between my symptoms and what could they mean?

Submitted: 4 Days
Category: OBGYN

Expert:  Dr. Aarti Vazirani replied 4 Days.

Hello,
Thanks for posting your query at DoctorSpring.com
First of all, the polyps that you mention - were they diagnosed by a doctor or have you seen them ?
Please upload pictures of the polyps so that I can have a diagnosis as to what they are.
Also, occasional cramps are normal.
Regarding the irregular cycles, you need a formal workup.
What is your current height and weight ?
Stress, anxiety, emotional turbulence, weight fluctuations. unaccustomed exercise, travelling, smoking, drinking, late nights, irregular eating habits - all can cause menstrual irregularities.
Hormonal levels need to be checked and an internal exam needs to be done.
YOu need to consult a Specialist and have the following workup -
1. Internal exam - per vaginum and per speculum'
2. Pap smear.
3. Pelvic transvaginal ultrasound scan.
4. Hormonal levels - FSH, LH, TSH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid profile.
All the best
Looking forward to hearing from you with more details.
Regards.

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Patient replied :

There has not been any major disturbance of any of my habits weight or behaviors. .. like I said I was regular before having my daughter and then I became irregular. The pain I was referring to are most definitely not cramps. I've had cramps. I've had labor pains. This is not a muscular pain. It is a sharp stabbing pain that lasts for a few seconds and in bursts. I have seen the polyps myself after having felt them. And I use the word polyp for lack of a better description. They do not bleed or anything. They look like polyps.


Expert:  Dr. Aarti Vazirani replied 3 Days.

Thank you for the follow up.
In order to give a recommendation regarding how to proceed I would appreciate if you could upload pictures of the polyps.
Also kindly include in your reply, your height and weight.
Looking forward to your reply

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Patient replied :

I am 5'6 and 175lbs. The pics don't clearly show them but I can't really take a picture of inside my own vagina. It's really difficult. Anyway, I know about hormones and weight fluctuations, this is not my problem. I have been tested. It is something else entirely. The months between cycles are getting longer and the pain is becoming more frequent. I sometimes feel pressure on my cervix and in my uterus. And I am most definitely not pregnant.


Expert:  Dr. Aarti Vazirani replied 2 Days.

Hello again,
The pictures are unfortunately not clear.
I would suggest you to have the outlined workup.
- Internal exam ( Per vaginum, Per Speculum )
-Pap Smear
- Pelvic Transvaginal ultrasound
- Hormonal levels ( FSH, LH, Prolactin, OGTT, DHEAS, Free testosterone, Lipid Profile )
These tests will help to correlate your symptoms better.

The workup is listed to pick up some other reason, such as polycystic ovaries , endometrial hyperplasia, endometrial polyp, hormonal disturbances.
Please get the tests done and I am keeping this consult open and please follow-up.

Please feel free to discuss further.
Take care.
Regards.

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