I was put on the pill when I was 14 to regulate my periods. I was only getting my period about every six months, and at the time the doctor felt that I would grow out of it. I am now 23 and have been off the pill for seven months and have only had one period (and that was after a Pap test). My blood was tested for prolactin (12.4), TSH (1.52), FSH (5) and LH (3). How can I find out what is a normal range for these tests? The doctor who processed the tests was very unhelpful, and I am not going back to her. Is there anything specifically that I should ask of another doctor? My husband and I would like to start trying for a baby next spring.

Cher

The values for all the tests you list above are normal. While we previously thought that most women will grow out of their irregular menses once they get off the pill, we now know that this is rarely the case. Most often, the irregular menstrual patterns recur a few months after the birth control pills are discontinued.

The tests your physician performed looked for ovarian failure (FSH, LH), thyroid disorders (TSH) or pituitary problems (PRL). Another possibility is a syndrome in which the ovaries or adrenal glands produce excess male hormones. Polycystic ovary syndrome (PCOS) is often associated with insulin resistance, a condition in which your body requires more insulin to keep blood sugar normal. The higher blood insulin levels, although still in the high normal range, can interfere with normal ovarian function. If you are overweight, your weight be a factor causing the abnormal menses.

It is important that you seek care with a physician whom you trust and who is willing to spend time answering your questions and addressing your concerns.