WOMENS-HEALTH Messages for January, 2002: Spotting/Progesterone Challenge

Spotting/Progesterone Challenge

From: Abigail (anonymous@obgyn.net)
Wed, 16 Jan 2002 18:37:30 -0600 (CST)

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Reply: M. Kelly Shanahan, MD, FACOG: "Re: Spotting/Progesterone Challenge"

I'm 42. I have been on birth control pills for 20 years and recently began spotting mid cycle. My periods have always been scant and no more than two days in duration, but the past 10 months or so it has become mostly brown fibers and brown spotting - very little I might add. Doc did an ultrasound and found "millions of fibroids" - her words. I'm sure she's being hyperbolic and I'm not too worried about the "millions" part of her description as the 4 largest fibroids are between 2 and 3 cm. She wanted to perform a hysterectomy, but I bought some wait and see time as all the women on my father's side of the family have had early menopause (before the age of 45). Doc also did an endometrial biopsy and that was negative for ca and hyperplasia. She placed me on Prometrium 300 mg for the first 10 days of my cycle. With all that history, here's my question. I have taken the Prometrium for the past 5 months and have not had a bleed after. The two days that coincide with my normal period days (from before the prometrium), I am still spotting brown blood and some thin fibers. Do you think that this brown spotting and fibers are coming from my fibroids? Does it basically sound like I have arrived at menopause albeit an early one?

I will see Doc again in May for another ultrasound to hopefully find that the fibroids have shrunk.

Thanks, in advance, for your answers.

--
Abigail

Next message: Lissa: "[Birth Control] Mircette vs Ortho-Cyclen"
Previous message: Tamara: "Excessive bleeding and switching pills"
Next in thread: M. Kelly Shanahan, MD, FACOG: "Re: Spotting/Progesterone Challenge"
Reply: M. Kelly Shanahan, MD, FACOG: "Re: Spotting/Progesterone Challenge"

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