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Re: sonogram and bleeding

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From: j wang, M.D. (anonymous@obgyn.net)
Mon, 8 Oct 2001 22:22:56 -0500 (CDT)


Appearence of the lining is not a good predictor of endo CA in premenopausal women. It is used as a screen for psotmenopausal women, but there is a high false negative rate (thankfully) of the US. If you have only had a few months of this problem, I would not perform a biopsy, but try pills first. Some might want a biopsy first.

At Mon, 8 Oct 2001, Dee wrote: >
>At Mon, 8 Oct 2001, j wang, M.D. wrote:
>
>So would you say it's safe to assume that there is no endo. ca. since
>lining was normal on sonogram, or would you do a sample anyway because
>of my age.? My GYN suggested tyring the pill to see if it resolves. I
>forgot to mention I have fibroids too.
>
>>Most likely it is a slight change in your hormone levels and there is
>>breakthrough bleeding. A trial of hormone management would see if
>>things easily resolve.
>>
>>At Mon, 8 Oct 2001, Dee wrote:
>>>
>>>I went to GYn last week for check up and had some problems as well. I
>>>am 43 and have had a few months where I had mid cycle brown spotting but
>>>not every month. I also have post coital spotting but not all the time
>>>there either, mostly only happens in 2nd half of cycle. I also have
>>>been having either very light periods(not the norm for me) or heavy the
>>>first day, they are coming 2 days earlier, except this month I went the
>>>28 days, trouble staying asleep, terrible memory problems, and very
>>>moody, I can't control it, it's terrible and other things too.
>>>
>>>He said my cervix was clean and pap was normal and he didn;t feel
>>>anything abnormal on exam so he wanted a sonogram. I went today, it
>>>showed no cysts and a normal lining. I haven't spoken to him yet
>>>becasue he had an emergency section but the tech gave me this info.
>>>
>>>So what than can be causing these problems of ocassional spotting and pc
>>>bleeding in 2nd half along with the others things??
>>>
>>>If endo. ca, was involved wouldn't the lining be thick, or can it be
>>>hormonal.? I'm confused. What should be done next?
>>>
>>>--
>>>Dee
>>>
>>--
>>James Wang, M.D
>>Assitant Clinical Prof.
>>Tufts University School of Medicine
>>
>>statements are informational only and should not constitute a medical plan or treatment recommendation.
>>
>--
>Dee
>

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

statements are informational only and should not constitute a medical plan or treatment recommendation.




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