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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do Antidepressants Have Any Effect On The Menstrual Cycle?

I started my TTC (trying to conceive) journey at the age of 31 and I just turned 37. I'm trying to conceive my first child once more after a 3 year break (to long to wait.

Anyway, from the time I started seriously tracking my cycle at the start of my journey it was 37 days pretty consistently give or take a day.

Well, when I began to track again a few months ago it was 30 days and had been up until the cycle before this one.

Around that time I began taking a prenatal vitamin in it with a few extras in it to help my old eggs such as myo-inistol and CQ10.

As the cycle after I took it progressed I noticed it messed with my ovulation day, if I ovulated at all. Then cycle day 30 passed and no period, day 37 no period-I stopped taking the vitamin.

And just when I was going to go to the doctor, after 58 days my period dribbled in weakly. The period itself was odd and concerning, I bled for 11 days- the last 5 being very heavy. I've never bled more than 7 days?!

Now, I'm 36 cycle days in and no period.

I'm getting nervous!

Could the my hormones still be screwy from the supplement I stopped a month ago? I've been off my antidepressants for a month after taking them almost half of my life. Could that effect my cycle? Am I going into menopause on the strike of my 37th birthday? Cysts? Cancer?

Help?! I'm so overwhelmed with thoughts!

Thanks,
Amy
Mon, 26 Mar 2018
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OBGYN 's  Response
Hello,

About your antidepressant actually, I need to know which antidepressant you are taking so that I can precisely tell you whether it is affecting your menstrual cycle or not.

But generally, as you are on an antidepressant for a longer time, and your menses being a little bit irregular it might be possible there is some hormonal imbalance. As you have stopped antidepressant I am just worried are you suffering from any withdrawal symptoms because at this stage it is the most important health issue to be concerned about.

One more point you mentioned as if at all you are ovulating. What do you mean by that? If you are not ovulating, then you need some ovulation induction drugs to form ovum.

It will be very early to comment about you being menopausal. So please don't jump to the conclusion. Looking at your history, it is highly recommended to go for complete evaluation for infertility. Looking at the age I will prefer to suggest laparoscopy and hysteroscopy.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Tejashree Bhor
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Do Antidepressants Have Any Effect On The Menstrual Cycle?

Hello, About your antidepressant actually, I need to know which antidepressant you are taking so that I can precisely tell you whether it is affecting your menstrual cycle or not. But generally, as you are on an antidepressant for a longer time, and your menses being a little bit irregular it might be possible there is some hormonal imbalance. As you have stopped antidepressant I am just worried are you suffering from any withdrawal symptoms because at this stage it is the most important health issue to be concerned about. One more point you mentioned as if at all you are ovulating. What do you mean by that? If you are not ovulating, then you need some ovulation induction drugs to form ovum. It will be very early to comment about you being menopausal. So please don t jump to the conclusion. Looking at your history, it is highly recommended to go for complete evaluation for infertility. Looking at the age I will prefer to suggest laparoscopy and hysteroscopy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tejashree Bhor