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Re: Postpartum spotting.Next step?From: emilio porro (sanbonav@hotmail.com)Thu May 29 12:12:54 2008
If hcg positive obviously You suspect some tissue producing this Hormone (pregnancy ,residual placental tissue,mola or chorionepitelioma)If hcg negative what You would do (also to avoid the risk of Asherman syndrome following a curettage after postTC endometritis and consequent medicolegal problems?) Yours faithfully Emilio Porro M.D. Date: Thu, 29 May 2008 08:41:34 -0500 From: rd.braun@gmail.com To: ob-gyn-l@mail.obgyn.net Subject: Re: Postpartum spotting Get an hCG Dan On Wed, May 28, 2008 at 8:40 PM, Glen Elrod <dr99645@yahoo.com> wrote: 26 yo G2P2 s/p section in December. postpartum course was complicated by endometritis that was managed as an outpatient. pt recovered and had no further pain or fever. She stopped breast feeding in February and since then has been spotting continuously. I saw her a month ago and thought she had irregular bleeding from anovulation and gave her Provera. It didn't stop the bleeding and since she has continued to bleed daily. Ultrasound was otherwise unremarkable. Other than an EMB to rule out something persistent from delivery, is there any other suggestions. thanks, Glen
-- R. Daniel Braun, MD FACOG(L) ABMP CMTh Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine
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