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[Birth Control] problems with depo-provera

From: A. (anonymous@obgyn.net)
Wed, 20 Feb 2002 21:33:30 -0600 (CST)


I'm a 28-year-old with a history of endometriosis, for which I was treated in 1998. The physician who diagnosed me actually didn't find any lesions. He did, however, find a hole in my cervical wall the size of a quarter. He referred to this as Allan-Masters syndrome and suggested that the lesions were in that hole and could neither be seen nor operated on. I was given shots of Lupron for six months and responded well. After two years of unberable pain and constant, heavy bleeding, i was finally well.

All of that ended in November 2001. I began receiving Depo Provera injections in June 2000. I had minimal problems until around Thanksgiving, including irregular bleeding. It is now Feb. 2002. The last shot I received was just a few days before Christmas. I mentioned to the nurse that I had been beleding since Thanksgiving. The flow wasn't overly heavy — just constant and rather annoying. I couple of weeks later, my PCP did a Pap, which was normal; a pelvic, which was not painful; and ordered a pelvic ultrasound, which turned up nothing abnormal. But she did send me to a gyno, who gave me an estrogen supplement to help stop the bleeding. That course of action did not work. He also attempted a pelvic exam, but I was in so much pain he could not complete it. I went back two weeks later. The bleeding had not stopped. I was put on birth control pills for a week. The bleeding stopped for a week. However, yesterday I began bleeding heavily. So heavily I bled straight through a pad and filled one pad about every forty-five minutes for seven hours. I nearly fainted at one point and went to the ER. The pelvic done at the ER was excruciating. I kept trying to scoot away from the examiner. Thankfully, my lab work was fine. Actually, my iron count is high.

It's been suggested that all of these problems stem from the Depo and that no solution exists. I will continue to bleed in this fashion until the injection has left my system.

I'm wondering, with my history, should I passively accept this "suffer through" explanation? Or is a more agressive solution available? I do not plan to continue the Depo. I realize that endometriosis whould not be a problem if a woman is on Depo, but is that the case with everyone?

Any advice would be greatly appreciated.


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