21 no period In 6 months. Not pregnant. Breast pain

[Riilove]

My doctor doesn't seem concerned and none ever have. I have had irregular periods since I was 13. This is the longest ive gone with out having a period. My last period was December before that I had three regular periods. I'm not pregnant. I took a test in Feb and March both negative. It's annoying that the only response I get from my doctor is go on birth control which I don't want to do. What happens if I don't have a period for the rest of the year? I have no symptoms of a period in the near future. What could be causing this and how do I address my concerns to my doctor? My dr tested hormone levels in Dec by request and they seemed to be normal, atleast she said they were.  My estridol levels were 24. THS .76 FSH 8. I had one period after these results and nothing since then. I've recently had a breast ultra sound to do extreme pain and they found no cysts or lumps but during the physic exam she said there were a lot of cysts. They found a 2cm lymph in my armpit during the exam. Could any of this mean anything??

[thatquietgirl]

Wow, yes, I can understand the concern.  I didn't realize you had already tried birth control in the past.  Yes, it is definitely just masking the problem since it obviously didn't help any in the long run.  Have you tried getting a second or third opinion?  It may be normal for your periods to be irregular, but six months?  There has to be something they can try.  After all, as you pointed out, it's going to make it difficult to conceive when you desire to later in life.  

This doctor seems willing to run tests but not try to find a real solution.  There may truly be little they can do, but you need a doctor that can sit and explain the options and how they may/may not help or why the only option out there is birth control, if indeed it is (I would doubt it).  This one doesn't seem to have the wherewithal to realize that explaining her thought process to you would help ease your mind.  She's acting like she's brushing you off, and that, to me, is not a good doctor.  If possible, definitely seek another opinion.

[Riilove]

Thank you! I had an ultrasound In 08/09 to look for cysts and nothing was found. I was in birthcontrol until 2010 and it did and didn't help. More regular but not every month. My issue with being on birth control is it's not going to help me later in life if I do want to have children and the issues were always over looked. My doctors response to me tell her I hadn't had a period in 6 months was that's normal for you.... No concern at all for the fact that a 21 year old hasn't had a period in months. I've always had some breast pain (annoying) but I'm assuming the fact that my period is absent my hormones are causing the issue. It's only In one breast and a constant daily ache and I can't touch it, with anything without mild pain

[thatquietgirl]

It's concerning you've had irregular periods this long.  It's typical for the first year to be irregular, but for it to continue for eight years this way?  I know there are women out there whose periods never seem to regulate, but it's supposedly not the norm.

I can verify your TSH was indeed normal as I've had the test before, and normal is anywhere between 0.10 and 5.50.  The others I can't confirm, but I'm sure your doctor would have been honest if otherwise.  You may consider birth control for a few months to see if that will help get your period in a regular pattern.  It may or may not.  

Have they done a lower abdominal and transvaginal ultrasound to get a look at your uterus and ovaries and make sure nothing's going on with any of that?

There are conditions of the breast where you simply have very dense, cystic tissue.  I forget the term for it, but both my grandmothers have it.  Hormones can cause the breast pain.  Do you do monthly self breast exams?  If not, I would start doing them simply to determine if the cysts grow or disappear or anything and record any noted changes to report to your doctor.