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So I haven't had a period for about 18months. Over the past 2-3 years my cycle was going longer (say 45 days) eventually they stopped apart from a 4 month spell in 2009.

Test show low levels of LH and oestrogen. Everything else thyroid, adrenals seem in normal levels. I had an MRI on my pituitary and it didn't show up anything out of the ordinary.

The doc started me on the pill but it made me feel terrible so I stopped it (Jan - mid feb)

Overall I feel tired, moodiness (even depressed) and I am prone to the odd sugar binge. I started paleo in Jan and it has helped a little but still prone to sugar binges(damn it!)

So my hormones are out of whack but I just want to get them sorted without resorting to the pill, maybe it's my only option? I have been dabbling with acupuncture so perhaps that will help. Plus I think I need to dial my carbs down and go vlc or even zc to see if that helps.

** update saw doc for hormones blood tests and there are signs of them stirring! He was surprised!! Signs that my eostrodial(?) levels are coming back up, after levels so low last year. Not quite there yet but optimistic that periods could be coming. This is after some acupuncture sessions so you bet I will be glad to continue them to see if I can get a break through. Really chuffed, though doc was going to insist I go on the pill again. Fingers crossed this is going to resolve with acupuncture and good paleo living. :) Whaaaa, just feel so frustrated!

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Minnie, are you low carb? – No more. May 30 2011 at 18:02
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where do you live? – The Quilt May 30 2011 at 18:16
Edinburgh, United kingdom. Yep, all the way over the water. A tad inconvenient! Always open to using skype etc and could try to source private blood test?! Our National Health Service has some benefits but sometimes thinking outside the box ain't one of them. – Minnie The Minx May 30 2011 at 18:54
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You may play with upping the carbs and seeing what it does to your hormonal balance. Low carb can aggravate cortisol and other stress hormones. – No more. May 30 2011 at 19:02
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yay @ update! hang in there! :) – g. Jun 17 2011 at 21:06
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10 Answers

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Run the other way........you need to to run. Horrible advice.

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You need to find out from a doctor.......WHY forget about how and what.......This is total BS advice. – The Quilt May 30 2011 at 17:21
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I bet your cortisol is through the roof.....CRH inhibits GNRH and TSH. That explains your stalls and your period issues. Go see a doc who does not have their head firmly planted up their ass. – The Quilt May 30 2011 at 17:23
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Agreed! Doc seems hooked on fact I need to bleed to keep my womb fresh. Low oestrogen, ahhhh, just pop the pill. I realise my hormones have probably been whacky for quite sometime and this is somehow interlinked with low moods, sugary carbs etc. Interesting about cortisol, tests show adrenals are ok but there has got to be something going on. Now to find a good doctor?! Hmmmm – Minnie The Minx May 30 2011 at 17:35
Blood letting is back? Minnie, look at this listing of low carb docs by state. lowcarbdoctors.blogspot.com – Dexter May 30 2011 at 18:26
The Quilt is in Hermitage, Tn – Dexter May 30 2011 at 18:27
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I'd go to a Traditional Chinese Medicine practitioner with a specialty in fertility. Usually the top fertility MDs in your area will know who is well trained in fertility as IVF has great results when TCM is used. I'd call around in your area, if you want a referral.

It may cost you $65-80 depending upon your town's cost of living, or you can go to a teaching college lower the cost to $15-25.

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And please make sure the practitioner is LICENSED and has +5 years of experience. Unfortunately the real learning comes after passing their boards and through working with an experienced practitioner. – Marie May 30 2011 at 20:18
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oh god, don't take The Pill!!!

You have to figure out how to get your body to work properly on it's own (easier said than done, i know). Flooding your system with synthetic hormones is not going to equalize you or teach your bod how to self-regulate. In fact it'll probably teach it to act in a compensatory way. Science doesn't, and can't really ever, know ALL of the effects and mechanisms of hormones in our bodies. Taking the pill will probably indeed give you very regular periods, but at what cost?

I have never, ever, met someone who has been totally problem-free with the pill. I'm willing to allow that maybe just don't hear about the successes, but still..

Stick with the acupuncture, and keep on the path you're on of properly nourishing yourself. Good luck!

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Eat some starch - my period also went AWOL after being very low carb for about 6 months. Lots of panic, stress and pregnancy testing ensued. Then I introduced starches again and got my period back after just one week of eating about 100g carbs from sweet potatoes and such! Anybody know the biochemistry behind this?

Now, I still have a thick pad of fat around my midsection, but I won't be lowering carbs drastically in the future to get rid of it, as I don't want to go through the period loss again. Might have to go back to the old method of reducing food amount and moving more to get leaner :( and learning how to relax better - I am a worrier and a suspect the fat is cortisol related.

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That's good news. Yeah I have going back and forth on what is the right level of carbs for me. I think I am starting to see that quality of carbs is important - sweet potato & tubers. No to fruits and White devil sugar!! Lol. My current thinking is to cycle carbs low carbs (green veg) on rest days and higher but not crazy carbs on workout days. That should be good for me. How did you decide the level of carbs to take? Do you cycle carbs? God bless the sweet potato! – Minnie The Minx Jun 18 2011 at 13:20
Hiya! I have only been including starches for the last 2 week or so, just daily with no cycling. Maybe I will see how it goes first, the work out a cycling strategy soon. With regards to deciding the level of carbs - I used the CW method of using 'the size of your fist' - so a fist sized gob of starch at each meal, together with non starchy veg = about 100g of carbs per day. – Grottenolm Jun 19 2011 at 0:40
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BCP's are a bunch of bologne. I wish I had known in my 20's what I know in my 30's! there are estrogen and other reproductive hormone creams you can buy that rub onto your skin. I don't know that much about them but from what I've heard from a couple friends they are much better than pills. I have no idea how to find a good Naturopath, but google will probably tell you. a Naturopath will figure out how to solve your problem without BCP's. Wish I knew more!!

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Creams?! Will defo look into that. – Minnie The Minx May 30 2011 at 17:39
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I had no period for three years between the ages of 14-17 (in the UK too) and the doctor put me on the pill. Not knowing any better, I stayed on it for 6 years, until I quit it in January 2010. My period didn't come back. I now live in Japan, but went back to the UK in December and saw a doctor- he said that after quitting the pill your cycle can be "odd" for up to 1.5 years (despite the fact mine wasn't odd, it was entirely absent) and that he wouldn't run any tests for me until I reached that point. So I came back to Japan, saw a doctor here three weeks ago and she discovered I have polycystic ovaries. Not sure if I have full blown PCOS (the syndrome), and I hear that both can be mutually exclusive (eg you can have the syndrome without the cysts and have the cysts without the syndrome). I'm furious at the English doctors for not even checking for this when I was 17, or in December. The Japanese doctor gave me the pill just to make me bleed. Although I empathise with you that your doctor just wants you to have a "fresh womb" (ha!) it is important to shed the lining every now and then- and it's been a year and a half for me now!

I would get checked out for PCOS if possible. If you find that low carb helps you that may be tied into a symptom that often comes in tandem with PCOS- insulin resistance. I have always been skinny so I don't seem to have the weight gain problem some people have with it.

However, after getting distraught about it and worried that I would have to stay on the pill to regulate my hormones, I saw a great acupuncturist who I have been to for other problems. He diagnosed me with stagnant liver qi, which explains a few other health problems, and has been treating me for that. I have heard great things about acupuncture's ability to solve hormonal imbalances, so I highly recommend it. It's been a while since I've been back in the UK but I think that you can get acupuncture on the NHS for some things. Otherwise have a look at reviews for acupuncturists in Edinburgh.

Good luck!

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Thanks. Will see if I can get a scan for that,I have dabbled in acupuncture before and I think I have found a good one. She used to be endochronologist! But she said I had to be patient(my greatest flaw! Lol) have you seen latest testimonial on robbs site on pcos robbwolf.com/2011/05/30/…. – Minnie The Minx May 31 2011 at 4:24
Haha patience is my greatest flaw too. After a couple of appointments I think "bah, this isn't working!"- and it's pricey too. But I guess also worth sorting out. The Rob Wolf testimonial is interesting, but it's from someone whose syndrome was caused by insulin resistance, which I haven't go. A lot of people get on the drug Metformin because it helps with their insulin sensitivity but it wouldn't help me. Paleo likewise hasn't really helped although I do notice that my sugar cravings lessen when I eat more fat, less carbs.... hmm... Apparently not so good for liver stagnation though! Argh! – sophie May 31 2011 at 4:56
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How old are you? Very hard to give advice without knowing if you might be menopausal.

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Only 34, endochronologist suggested it wasn't early menopause. – Minnie The Minx Jun 18 2011 at 13:04
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Just got the exact same diagnosis and recommended therapy from my gyno - no period for the last 12 mo. everything tested normal, thyroid, not premenopausal, doc agreed with me its due to training intensity and low body fat. She said that low estrogen will cause bone loss and recommended birth control pills! It did not make any sense to me!

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Proceed with caution... It's almost like the doc was suggesting my uterus was going to "get stale" from not bleeding and my bones would break down. Of course at 34 I don't want to be storing up problems for years down the road. But I really don't want the pill either. My body fat was never that low!! But I did train hard on a low cal/carb diet with occasional sugar blowout. I think the secret is getting a good doctor who really understands this without blindly suggesting the pill. Keep tracking your blood / hormone levels. I am trying acupuncture and she has a good track record! – Minnie The Minx Jun 18 2011 at 13:10
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Hmm, honestly how low is your body fat? Are you really over trained? how long have you been paleo? These hormones are tricky devils. I am praying this acupuncture is helping but my hormones are showing signs of life after nada for a good 18 months. My acupuncturist has only had 1 women not respond and she was pregnant!! Good luck... – Minnie The Minx Jun 18 2011 at 13:15
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Look into pcos I had same problems, mine was caused by insulin resistance I am not a dibetic I am not obese I am 34, I've eaten whole wheat bread all my life, I love sweets would cave cravings, I don't have them anymore they have me a pill that helps me break down the insulin,I've also lost weight hope this helps I know how I felt.

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FYI I'm not skinny boney person. And another thing was that I had tried for two years to lose weight thinking that was problem kept on a 2000 and under cal diet I kept to 1500 most of the time but had sugar days that messed me up but I never really lost weight in fact if I didn't calorie count and work out at least two times a week I would gain weight . I started to feel very absent minded after I had sugar but not tell 4 mo after this started I also felt very tired which I blamed on blood loss. So pay attention to how you feel after eating certain foods so you can tell your doctor. – PAusq Dec 17 2011 at 15:44
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Please don't post if you don't know what you are talking about. Have you ever heard of osteoporosis? It is most common after menopause because your estrogen levels have declined. So low estrogen can cause bone loss and cause you to not have a cycle. In your situation, having low body fat or intense exercise regimens can affect your estrogen levels, thus lead to lack of menses. The treatment is training less, eating more healthy fat, and changing your ratio of muscle to fat And see if your cycle resumes or start birth control. Just because you reacted bad to one doesn't mean the same thing will happen. Also keep in mind that woman that don't have menstrual cycles that are also athletes are at higher risk of stress fractures...and women do not need to have cycles for the reasons mentioned ( they have continuous birth control now that skips monthly bleeding altogether.)... The lack of regular menses is a sign your body is stressed. It's a defense mechanism in which the body tries to prevent pregnancy because the body is overworked, or too thin, or stressed etc ( considering all other test are normal).

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Please don't post if you are going to tell other people not to post... – Bread-Eating Beelzebub Sep 10 2011 at 4:25
Yes, the reason this place is so great is because you CAN post if you don't know what you're talking about and the community will help you out. Collaborative environments take all sorts of levels of knowledge, and we need to keep a positive, kind and respectful tone on here, please. – Sarah Sep 11 2011 at 0:03

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