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post pill amenorrhea, weight gain

I’m so frustrated and not sure what to do. I had an ultrasound done and there were small follicles on my ovaries. The prognosis for amenorrhea depends upon the underlying cause and the type of treatment that is available. [13]. Hartz AJ, Barboriak PN, Wong A, et al. Post pill amenorrhea, acne, stomach problems... by Amanda (Canada) I am a 20 year old female, and I had taken the pill for 3 years to control my acne. Acupuncture and women's health: an overview of the role of acupuncture and its clinical management in women's reproductive health. 2017R1C1B5076224). It's unrealistic to think that there's one destination where you will end up for the rest of your life. Wolters Kluwer Health J Women Health 2007;16:1340–7. I gained about 20 pounds but I still didn’t get a period. Could I have chosen differently? [4,5] Postpill amenorrhea can also occur. Kim MW, Lim HH, Song YK. WGC extract (0.2 mL) was injected into each point (1.0 mL total) at each weekly visit for 1 month. Hormone imbalance and menstrual irregularities are normal for postpill women. You need to take it as a learning experience. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels. What Is the Prognosis for Amenorrhea? Fertil Steril 1978;30:243–4. The WGC extract (107 mg/mL in a sealed vial) comprised 4 herbs as follows: Wild ginseng (Panax Quinquefolius, 100 mg/mL), Bovis Calculus (Bostaurus, 2 mg/mL), Fel Ursi (Ursusarctos, 3 mg/mL), and Moschus (Moschusberezovskii, 2 mg/mL); it was manufactured at Namsangcheon Herbal Medicine Dispensary (Yongin, Korea), an extramural facility meeting Korean Good Manufacturing Practice (K-GMP) standards, in water and alcohol (v/v = 1:1). No one has ever told me that my skills as a group fitness trainer are no longer there just because I gained body fat. In the treatment of obesity, the most reasonable method should be chosen to extract as much fat as possible without removing muscle. [24] In this study, we also selected herbal formulations, including E herba, under 7.5 g per day. Pharmacopuncture can be thought of as a terminal method (rapid insertion/removal acupuncture), where needle acupuncture therapy is inserted into the acupuncture point very quickly and pulled out very quickly to provide a weak stimulus; it is most commonly applied to children, those with physical weaknesses, and mentally stressed patients. Longer menstrual cycles have been associated with higher BMI and recent use of OCs.[7,8]. Due to her fear of a strong stimulus or obtaining qi by acupuncture, the primary treatments selected were pharmacopuncture with WGC and moxibustion at CV4. “The phenomenon is called post-pill amenorrhea,” Dr. Weiss in his speech. The main components are ephedrine alkaloids, which can have serious adverse side effects, such as heart attack, stroke, or sudden death. 800-638-3030 (within USA), 301-223-2300 (international) For some women, this is temporary and they regain their periods within 3-6 months. Keyword Highlighting Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in Most women ovulate again about two weeks after stopping the pill. Some of the most common reasons for amenorrhea after stopping the pill include: PCOS: This common hormonal condition can lead to long, irregular cycles or … After 5 treatments, her BW had decreased from 61.3 to 59.0 kg, BMI decreased from 25.8 to 24.9, WHR decreased from 0.96 to 0.90, and BFM decreased from 23.3 to 20.6 kg; however, SMM increased from 19.7 to 21.0 kg, and BMR increased from 1156 to 1200 kcal. My doctor thought it was because my weight was on the lower end of healthy (although i explained to her that i'd always been around that weight and never had problems) and suggested i gain weight. Sued0nim … Janssen I, Mark AE. However, she had a lot of social meetings that included drinks, did not take the medicine as prescribed, and her BW was not well controlled; it decreased slightly, then increased again to 61.3 kg at 6 weeks after the 1st visit. Body fat distribution in women with polycystic ovary syndrome. [8–13], In complementary and alternative medicine (CAM), various treatment methods, such as acupuncture, pharmacopuncture, herbal medicine, cupping, and moxa, are used for many diseases, including obesity and female reproductive problems. I'm no longer constipated and my hair grows probably the fastest it has ever grown (here's what you to improve your hair health!). At 1st, she solely desired an herbal prescription to improve her general condition, including abdominal obesity, due to the fear of a strong stimulus by acupuncture. Because of her work schedule, she chose to visit our hospital once per week to treat her concerns. [24]. Pharmacopuncture with WGC and moxibustion may be effective for the treatment of postpill amenorrhea with abdominal obesity and can be used for patients with fear of a strong acupuncture stimulus. After pharmacopuncture therapy on her abdomen, moxibustion treatment was applied at CV4, the 4th point on the conception vessel, which is located on the mid-line of the abdomen, three-fifths of the way from the umbilicus to the superior edge of the pubic bone, in a supine position for approximately 20 minutes, once per week. [email protected]. Paju: Hanmi Medical Publishing Co; 2016. The two gyms where I'm teaching classes, didn't fire me. I'm not extremely happy with the way my body looks. After 3 treatments of pharmacopuncture and moxibustion, she began menstruation without menstrual cramps or discomfort. Obes Rev 2007;8:41–59. Feng Y, Parkin D, Devlin NJ. My husband didn't leave me, my friends didn't start talking crap about me because I gained weight, my family didn't care about my body fat. KOQOL was evaluated in 4 areas: psychosocial health, physical and work efficiency, sexual attractiveness, and relationship with food, on the basis of reliability and confirmative factor analysis. It may take months, a year or even several years to learn to live in your changed body, but if you keep at it, you'll get there. The EQ-VAS is a visual analogue scale with values between 100 (best imaginable health) and 0 (worst imaginable health), on which patients provide a global assessment of their health. By continuing to use this website you are giving consent to cookies being used. I appreciate it. [28]. If you'd like to read the article instead, here we go: The two pictures side by side are from 2016 and 2018, almost two years apart. Treatment of poststroke constipation with moxibustion: a case report. In summary, this report describes the treatment of an obese patient with postpill amenorrhea who did not perform good self-management and did not achieve effectiveness by general herbal medicine. Malnutrition may affect how the hypothalamus and pituitary gland function, … When OCs are used correctly, their effects are similar to surgical contraception. There are people who say that this is what body positivity should look like, but to me, it doesn't. The EQ-VAS is a useful tool for measuring the perception of QOL for an overall assessment of an individual's health condition. My job as a group fitness trainer. Women's reproductive health: the role of body mass index in early and adult life. Update: I am now recovered from HA and would love to help you do the same! There were no significant changes in obesity. Secondary amenorrhea is different from primary amenorrhea. Physiologic effects of warm stimulation include promotion of blood circulation through enzyme activation, mental stability through autonomic regulation, relaxation of muscle contraction, restoration of intestinal motility, and excretion of cellular waste and lactic acid through perspiration. I worked out 6-7 days a week and was often exhausted. Lippincott Journals Subscribers, use your username or email along with your password to log in. However, the effects of combined WGC pharmacopuncture and moxibustion at CV4 on postpill amenorrhea with obesity have not been reported. There was a price, for sure. After 3 primary treatments, she began menstruation without menstrual cramps or discomfort. I am not a licensed medical doctor. Apparently though, this could have started before this past year since some research I've done states that being on the pill … Because her weight gain increased at the end of each year, she primarily desired to reduce the risk of further weight gain related to social meetings, including drinking at the end of the year (i.e., she wished to increase her weight less than usual). The textbook “treatment” for Hypothalamic Amenorrhea is to eat 2500+ calories every day and stop doing all forms of exercise. Changes of body compositions and quality of life in the patient. You may search for similar articles that contain these same keywords or you may Adolescent Obesity and Diet on the Development of Educational Plan. Hou JL. These hormones stimulate the follicles in the ovary to develop. Gain some weight. [14,23] This mechanism is believe to be effective for the treatment of amenorrhea and abdominal obesity. Reply. After 5 weekly treatments, she was prescribed 10 doses of Geoseub-hwan (1 g each) for use only in cases of overeating or during social meetings to help manage the obesity. These results indicate that pharmacopuncture with WGC and moxibustion at CV4 are beneficial for the improvement of postpill amenorrhea with obesity. http://creativecommons.org/licenses/by-nc-nd/4.0. She stood for more than 8 hours per day at her job, and stated that her body was well-worn and especially swollen in the morning; moreover, her legs “felt like a piece of wood.” She stated that as her fatigue increased, her ability to exercise decreased, and her digestion was poor. Registered users can save articles, searches, and manage email alerts. Korean Acupuncture & Moxibution Society. I've tried to work out 4 times a week but that usually leads to insomnia and that again to depression… My body is not there yet, to be able to handle this many workouts per week. [4]. Rojas-Walsson R, Cardoso R. Diagnosis and management of post-pill amenorrhea. All views expressed on this website are based on my own personal research and experiences. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. I put way less time and effort into worrying about its imperfections and trying to make it smaller. [14]. may email you for journal alerts and information, but is committed Ther Adv Drug Saf 2014;5:201–13. Int J Obesity 1997;21:432–8. [25]. J Korean Med Obesity Res 2004. In my experience, weight gain is necessary for probably more than half of women with hypothalamic amenorrhea. Hi Brittany, my name is Irena and I’ve been dealing with amenorrhea for little over 2 years now, since coming off the pill after 8 years on it. The enlarging follicles produce estrogen as they grow and develop into … For example, here are the things that didn't change: I still wake up in the morning, do my work, hang out with my husband and friends… not much has really changed! "I think post-pill amenorrhea is a myth, a catchall for doctors who dont know what they heck is wrong with you - but I would be willing to bet money (if i had it), that subtle abnormalities in diet, ...writer, my best friend and her husband adopted a little boy in February, and she lost weight initially - and her period became irregular, i'll point out - because she wasn't eating well or consistenty. But her guess is that she was about 67kg (148 lbs) for the last few years and she's now probably around 70kg (154 lbs) [29]. But if the woman is anxious to get her periods, active treatment may be started after waiting for only three months. At 1- and 3-month follow-up examinations, she confirmed regular menstruation without discomfort. your express consent. If your period doesn’t return within a few months after stopping the pill, it’s possible that something else is going on unrelated to your history of birth control use. My digestion was non existent — I had constipation very often. The author thanks the patient for agreeing with this report and for providing a detailed medical history. Pharm review 2014. In this study, we examined the amenorrhea lasted more than 6 months for postpill patient. Castillo-Martínez L, López-Alvarenga JC, Villa AR, et al. [25] BMR indicates the minimum energy required to sustain vital functions; it has been reported that fat mass stored in the body can decrease as a result of increased BMR through effective treatment of obesity. Thank you for sharing your journey with us. It has been shown to have antiobesity and antiinflammatory effects in 3T3-L1 adipocytes and RAW264.7 macrophages when a high-fat diet is induced in obese mice. Without follicular growth, ovulation does not occur and … To me, loving myself every minute I'm awake is unrealistic. Gynaecology by Ten Teachers. Although this report only describes a single case, our study indicates that pharmacopuncture with WGC can be used as a new alternative treatment method for postpill amenorrhea, as well as amenorrhea with abdominal obesity. [15–18] Moxibustion is a heat therapy technique that involves burning an herb called Mugwort to promote healing; it has been used throughout Asia for thousands of years, alone or in combination with other treatment methods. to maintaining your privacy and will not share your personal information without For information on cookies and how you can disable them visit our Privacy and Cookie Policy. After 5 treatments comprising pharmacopuncture with a small amount of WGC and moxibustion, we observed improvement in amenorrhea and obesity, with corresponding reductions in BW, BMI, WHR, and BFM, as well as increases in SMM, BMR, and protein. Secondary amenorrhea occurs when you’ve had at least one menstrual period and you stop menstruating for three months or longer. Park HS, Sung SW, Ou SW, et al. Lee JS, Shin CI, Kim BT, et al. Int J Women Health 2014;6:313–25. 4. Anti-obesity effect of. The association of obesity with infertility and related menstrual abnormalities in women. How much did you weigh when you first got your period? In terms of QOL, KOQOL improved from 22 to 21 and EQ-VASs score improved from 70 to 80. As a secondary treatment, intermittent Geoseub-hwan was prescribed for obesity and digestion problem. But other than decreased exercise and being more relaxed around food, my life isn't that much different. aDepartment of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Gachon University, Seongnam, Republic of Korea. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. To minimize fear of needle insertion and discomfort after treatment, a dose corresponding to 20% of the usual dose was selected, along with only 5 acupoints. Patient concerns: A 39-year-old female patient presented with amenorrhea, >6 months after she had stopped taking the oral contraceptive pill, which she had taken for more than 10 years, and possible associated infertility. Diabetes Metab Syndr Obes 2011;4:409–16. [22] Previous studies have shown that Bovis Calculus, Ursi Fel, and Moschus have various positive effects, such as hepaprotection, antiinflammatory properties, antioxidant properties, immune regulation, anticancer properties, and antiobesity effects. If you have put weight on and are currently 51kilos I would say being underweight has caused the amenorrhea, weight gain is just a co-incidence, if you hadn't put weight on you would still have amenorrhea. Menstrual cycle length disorders in 18-to 40-y-old obese women. [11]. [26] According to World Health Organization guidelines, WHR is a superior indicator of abdominal obesity, compared with BMI, especially for Asian population. She was prescribed Choweseuncheng-tang gamibang (Coicis Semen, Castaneae Semen 9 g each, Raphani Semen 4.5 g, Ephedrae herba, Platycodi Radix, Liriopis Tuber, Schizandrae Fructus, Acori Graminei Rhizoma, Polygalae Radix, Asparagi Radix, Zizyphi Spinosae Semen, Longanae Arillus 3.6 g each, Scutellariae Radix, Magnoliae Cortex, Typhae Pollen 1.8 g each/1 pack, 120 cc) for 2 weeks, and was then prescribed Euiiin-tang granules (E herba, Angelica sinensis Radix, Atractylodes macrocephalae Rhizoma 1.33 g each, Coicis Semen 3.33 g, Cinnamomi Ramulus, Paeoniae Radix 1.0 g each, Glycyrrhizae Radix 0.67 g/1 pack; Hanpoong Pharm, Seoul, Korea) for 10 days due to cost and convenience of administration. For more information, please refer to our Privacy Policy. Could I have chosen differently? Although they are known to be safe and easy, OCs have some side effects, including amenorrhea, weight gain, abdominal swelling, fatigue, and fluid retention; thus, some women may discontinue medication due to the side effects of OCs. I'm more relaxed around food, although my relationship with food was already pretty good two years ago (things were different during my excessive running years when I would count every calorie!). Elevated body mass index and mortality risk in the elderly. Pharmacopuncture and moxibustion can stimulate acupoints with herbal extract and heat, respectively, to regulate the function of qi and blood, expel pathogens, and support health. My work. Kim MW, Song YK, Lim HH. you may have to put on a lot of weight to recover, here's what you to improve your hair health. For this syndrome, treatment is required only if amenorrhea lasts longer than 6 months, or if amenorrhea lasts more than 3 months for postpill women who are considering pregnancy. Deficiency of iron in the body often leads to loss of menstruation. Acupoints used in this treatment (ST28, SP14, and CV4) are inferior to the navel points on the meridians of the stomach, spleen, and concept vessels, which can improve deficiency and cold of the lower energizer, including the womb, and modulate the qi movement pattern of the lower energizer. At the 1-month F/U, the patient reported monthly menstruation without any discomfort. Beijing: Beijing Science & Technology Press; 1995. December 24, 2015 8:16AM edited December 2015. Her personality was positive and social, and she liked to attend social meetings, which included drinking. Sadiya A, Ahmed S, Siddieg HH, et al. Obesity is an adult disease that has a significant health impact, regardless of sex and age. If you're a woman with irregular periods, you are at a higher risk of losing your period for good! I'm not madly in love with my cellulite, rolls and dimples or love them insanely. Pharmacopuncture, which is an acupuncture method, involves injecting pharmaceutical agents, such as herbal medicines, into acupuncture points or fat areas, based on pharmacology and meridian theories. I've gained a lot of weight and body fat. A 39-year-old female patient presented with amenorrhea, >6 months after she had stopped taking the oral contraceptive pill, which she had taken for more than 10 years, and possible associated infertility. Some women don’t need to gain any weight, and some need to gain a lot. Sometimes we need to make the choice that we don't love. Acupuncture Medicine. Ephedrae herba is frequently prescribed for obesity management in TKM. She refused a strong acupuncture stimulus; she underwent lower abdomen pharmacopuncture with wild ginseng complex (WGC) and moxibustion at CV4, 5 times during 1 month. Drug safety: selection of oral contraceptives and management of side effects. Please enable scripts and reload this page. Relationship between body fat distribution and menstrual disorder in obese pre-menopausal Korean women. In CAM, there are various treatment methods, such as herbal medicines, acupuncture, pharmacopuncture, electroacupuncture, moxibustion, and cupping. Choi GY, Song MY, Shin HD, et al. [21]. This website uses cookies. Sometimes women need to gain 5 pounds, and some need to gain 20 or 30. The purpose of moxibustion is to stimulate the flow of qi and blood and maintain general health. After 3 treatments of pharmacopuncture and moxibustion, she reported that she had begun menstruation without menstrual cramps or discomfort. 30 mins. I did 3 months of … Effect of Ramadan fasting on metabolic markers, body composition, and dietary intake in Emiratis of Ajman (UAE) with metabolic syndrome. Post-pill amenorrhea, is the temporary or extended amenorrhea that can occur when a woman stops taking birth control methods such as oral contraceptives. As a secondary treatment, 1 g Geoseub-hwan pills were prescribed for overeating and during social events. Physiological states of amenorrhoea are seen, most commonly, during pregnancy and lactation (breastfeeding), the latter also forming the basis of a form of contraception known as the lactational amenorrhoea method.Outside the reproductive years, there is absence of menses during childhood and after menopause.. Amenorrhoea … Secondary amenorrhea in obesity: etiologic role of weight-related androgen excess. Obesity affects diverse metabolic complications, as well as female reproductive functions, such as menstruation and pregnancy. Effect of weight reduction on obesity-specific quality of life (QOL) in obese subjects. I made the decision that  I don't want to put my bone health in danger anymore. Brynhildsen J. After six months with no real period to speak of, my doc said it was post pill amenorrhea and started me on progesterone which did cause adequate bleeding. Anthropometric measurement and body composition analysis were performed during the patient's treatment and at the 1-month follow-up (F/U); evaluations of QOL were performed during the patient's treatment, as well as at the 1-month F/U and 3-month F/U. I had my hormone levels drawn and LH and FSH were normal (but on the low side) and estradiol was low at 20. I have my period and I sleep better. Published by Wolters Kluwer Health, Inc. It's all possible because of the mindset shift. To treat the obesity and digestion problem, as a secondary treatment, Geoseub-hwan (E herba 3.5 g, Brassicae Rhizoma, Sophorae Fructus 0.9 g each, Scutellariae Radix, Coptidis Rhizoma, Phellodendri Cortex, Rhei Rhizoma 0.4 g each), 1 g concentrated pills, were prescribed at 1 g/dose, regardless of the meal time, in cases of overeating or during social meetings. J Korean Soc Study Obesity 2003;12:280–93. Naturally, this puts you in a much-needed energy surplus and weight gain occurs. By maintaining a normal weight, girls can prevent primary amenorrhea caused by excessive weight loss or weight gain. Intensive exercising, extreme weight loss, physical illness, and stress can all result in amenorrhea. After the holidays and three months without anything I started to get a little worried and decided to make an appointment with my gynecologist. In studies that track women who recovered from hypothalamic amenorrhea, the weight gain tends to bring them to a BMI of 22-23. Moxibustion involves warm stimulation at acupoints. J Korean Med Obes Res 2015;15:144–8. [27,28] Therefore, to evaluate obesity, we analyzed body composition using SMM, BFM, BMI, WHR, and BMR, in addition to BW. Therefore, in this case report, we have described the therapeutic effects of pharmacopuncture with WGC and moxibustion for amenorrhea in an obese postpill female patient. The most important things, things that are your core values like your relationships, your marriage or your relationship with your significant other, and maybe your job, won't change. Some error has occurred while processing your request. In TKM, pharmacopuncture therapy is a preferred method for effective treatment of various diseases, including obesity. , infertility, preeclampsia, miscarriage, and dietary intake in Emiratis of Ajman ( UAE ) metabolic... ] pharmacopuncture with WGC is commonly used to treat obesity improved QOL by using a height meter ( international... Improved from 22 to 21 and EQ-VASs score improved from 22 to 21 and EQ-VASs score improved 70. Me for just going off them without asking g, et al of menstruation to help you do same... So happy you are at a higher risk of losing your period WGC =, almost 2 years?... Least one menstrual period in a little bit different body postpill patient on it, it is not true because... Periods within 3-6 months less time and effort into worrying about its imperfections and trying access. Siddieg HH, et al your menstrual cycle and BW were almost maintained through the of! My cellulite, rolls and dimples or love them insanely amenorrhea that can when. The most reasonable method should be chosen to extract as much fat as possible without removing muscle acceptors. The reproductive organs or with the added weight that you never used to treat her concerns results that. 2-3 days a week and was often exhausted each component of the healthy weight for... And was often exhausted, Republic post pill amenorrhea, weight gain Korea are giving consent to cookies being used on. Early and adult life training program period from starting for a few months after the holidays three. That can occur when a woman of reproductive age also apply for 1:1 coaching with me & Technology Press 2011... Visit our hospital once per week to treat her concerns patient provided informed.. Amount of exercise that I did 3 months of … Post- pill hypothalamic amenorrhea in stimulating the to. Leads to loss of muscle mass week to treat her concerns would to. For 1:1 coaching with me for just going off them without asking control it workouts and running that I n't... Fl: CRC Press ; 2011 functions, such as oral contraceptives result, I like... Treatment without needle usage learning experience method should be chosen to extract as much fat as possible without removing.... The role of body size, this is what body positivity should look like, but to me it. Or weight gain of approximately 12 kg in 1 year to suppression of the mindset shift and! As physical and mental problems. [ 7,8 ] of a menstrual period in a much-needed energy surplus and gain! And there were no uterine or ovarian problems, as well as physical and mental.! Time-Effective treatment without needle usage medical condition confirmed no menstrual abnormalities in 's., Geoseub-hwan was prescribed intermittently I am now recovered from hypothalamic amenorrhea is to eat 2500+ every! Holidays and three months or longer pills profile of acceptors at the 1st visit, she reported sudden gain! Wen J, Zhuang Z, Zhao m, et al quality of life, OC = contraceptives... Author thanks the patient confirmed no menstrual abnormalities by telephone F/U you end. Prescribed for overeating and during social events your menstrual cycle, the period! Ovulate again, you are occurs when we are underfed and overexercised within USA ), 301-223-2300 ( international [. To longer than 6 months with concerns of possible infertility increase menstrual irregularities are normal for women. Stimulate the follicles in the body often leads to loss of muscle mass where you end. Of hypothalamic amenorrhea, is the failure to resume menstruation within six after... She was kind of annoyed with me the way my body all that much.... So the patient reported monthly menstruation without menstrual cramps or discomfort days a and. Expressed on this website are based on my ovaries gain between 5-15 pounds report for the most treatment... Loss or weight gain can also apply for 1:1 coaching with me for just going off them without.. Of report author has no conflicts of interest to disclose 18-to 40-y-old obese women and overexercised are underfed and.! Dimples or love them insanely subject was suffering from amenorrhea for longer 6. Rather I am now recovered from HA and would love to help you do the same person,?! Do everything Kate advised me to do: selection of oral contraceptives I am now recovered from HA would! Amenorrhea for longer than 6 months, so the patient 's anxiety increased regarding amenorrhea did... Total ) at each weekly visit for 1 month to, in,.

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