WOMENS-HEALTH Messages for July, 2000: Re: Irregular bleeding for 9 months

Re: Irregular bleeding for 9 months

From: jwang,MD (anonymous@obgyn.net)
Mon, 31 Jul 2000 06:02:55 -0500 (CDT)

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In reply to: Sue: "Irregular bleeding for 9 months"

there are many routes to get to the same place. The hysteroscopy actually will better visualization of the uterine cavity than a sono-hyst. You had a D&C 9 months ago, and have been on hormonal management, so the likelihood of a problem (cancer) is very small. I think that this approach is certainly reasonable.

At Mon, 31 Jul 2000, Sue wrote: >
>Hi, Ihave posted here several times regarding irregular bleeding between
>periods. I am 37 and have 3 children. I had a miscarriage and D&C 9
>months ago, and since then have been spotting a few days after periods
>and also every few days throughout the whole cycle. The doctor tried to
>treat with hormonal medication, because he thought it is hormonal
>imbalance. I had only one spotless cycle on medication, but the next
>cycle on the same medication had midcycle bleeding. Last cycle was
>without medication and I had little tiny blood dots every few days until
>my next period. All ultrasounds (regular, not saline) and all blood
>work was normal. Needless to say that I am totally nervous about the
>situation.
>
>So now my doc (who still thinks it's hormonal) finally agreed to test
>for other problems. He wants to send me for a diagnostic hysteroscopy.
>On this forum I was advised to have a sonohysterogram and endometrial
>biopsy, but my doc doesn't want to do that, he thinks a hysteroscopy is
>better. They won't even do a biopsy, only if they see something
>suspicious.
>
>My question: At this point, is a hysteroscopy an acceptable choice for
>further testing? Could the hysteroscopy miss things that a sono and
>biopsy would pick up?
>
>Thank you so much for your great service.

-- J Wang, M.D Assitant Clinical Prof. Tufts University School of Medicine

>**Note: Opinions expressed here are for educational purposes only >and, as such, do not constitute a physician-patient relationship. >This information is not intended to supplant the need for you to >consult with your physician prior to choosing therapeutic options >and/or interventions.>

Next message: Joan: "HRT and blood pressure"
Previous message: jwang,MD: "Re: continuous spotting after stomach upset"
In reply to: Sue: "Irregular bleeding for 9 months"

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