Pregnant or Menopause?


Dear Midwife,
Last month I was sick and then my son got sick. I usually chart my temps. Needless to say at the beginning of the month (when sick) I didn't.

I had spotting around the time of expected AF. One day brown the next day it was pink with the exception of about a 4 hour period(it turn red for short time), then back to pink. None of it heavy,could have got by with a liner. My norm is first day light, 2 days heavy and 2 days of light to spotting.

I have taken hpt all neg. My problem is I feel pg. My breast are sore (mostly my nipples), urinating more frequently, nausea off and on with heartburn.

I am 44. I had a blighted ovum last year, miscarried at 13 weeks. That ended with a D&C. I was wondering is all these feelings hormonal. Is this the start of menopause? I had an infused ultrasound done a year ago and then I had 3 eggs on each side.

Any input as to what I should do? Or what is going on with me?



At 44 it is unlikely that you are pregnant, but certainly not impossible. If you still test negative 2 weeks after you expect AF, though, you are not pregnant. This may indeed be the beginning of the perimenopause, but given your history, I would report your symptoms if you do test negative two weeks into this cycle. Good luck!

-- Cynthia, CNM

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.