WOMENS-HEALTH Messages for July, 2008: Re: MENORRHAGIA: Medroxyprogesterone, continuous bleeding

Re: MENORRHAGIA: Medroxyprogesterone, continuous bleeding

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Tue, 29 Jul 2008 12:37:34 -0500 (CDT)

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In reply to: Sherry: "MENORRHAGIA: Medroxyprogesterone, continuous bleeding"

Sherry

You have several options short of ablation and hysterectomy. First is the progestin only pill, a pill with low dose of progestin every day (similar to the high dose aygestin/provera you have been using, but lower dose). Second is the implanon. It is a progestin containing rod that is inserted into the inner surface of your arm. It gives 3 years of contraception and most women have no bleeding with it. Lastly is the hormonal iud, mirena. It is good for 5 years and most women have no bleeding with it. The good thing about mirena, the hormone just works in the uterus, it does not get into bloodstream, so no increased clotting worries...Dr. von Almen

At Mon, 28 Jul 2008, Sherry wrote: >
>I am a 34 year old overweight female. I was having a problem with non
>stop bleeding. I did all the tests, pap, ultrasound, biopsy, glucose,
>hormone, etc.. Everything came back normal, dr thinks it is because I'm
>overweight. I was bleeding for months and the dr prescribed aygestin
>for 10 days, it stopped the bleeding then gave me a "real" period and
>then I hadn't had a period in 3 months. The dr then put me on
>medroxyprogesterone to induce a period since I had some minor side
>effects from the aygestin. I took the medroxyprogesterone for 14 days,
>had brown discharge for almost 2 weeks and now a full blown period, bad
>cramps and for 3 days soaked through multiple pads along with my
>clothes. It's been 13 days and I'm still bleeding. I have a history of
>blood clots so I'm trying not to go on regular birth control but am
>thinking that may be my only option. I am taking coumadin and will
>continue to take it as long as I am on any hormones. I am losing weight
>slowly but in the meantime I need some kind of solution. I am still not
>ready to give up on having children so I don't want ablation or a
>hysterectomy. Any other suggestions?

-- 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. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.

Next message: William F. von Almen, II, MD, FACOG: "Re: PREGNANCY: while ttc will a yeast infection kill sperm? will overian cysts make it harder to ttc?"
Previous message: Stacey: "EMOTIONAL: I felt great after giving birth..how do I get that back!"
In reply to: Sherry: "MENORRHAGIA: Medroxyprogesterone, continuous bleeding"

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