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Re: GYNECOLOGIC: D&C w/Uterine Perforation, DIC, colostomy & now continuous period for over 2 wks

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 22 Mar 2009 08:38:17 -0500 (CDT)


Gina

It can not re perforate and I think the larger clots are due to the hormonal problems you may be having...Dr. von Almen

At Sun, 15 Mar 2009, Gina wrote: >
>I hope it too is only hormonal and I thought that the new doc might put
>me on the pill just to regulate me again. I was also worried, which I
>failed to put in the first message, that I too am passing some clots,
>some larger than normal. This is all how it started in the beginning,
>so I'm just worried. Can something happen to the uterus after the
>perforation has been resolved? Can it perforate on its own again? Why
>the larger clots????
>
>Thanks for your input.
>
>>Gina
>>
>>It may just be hormonal--getting back to normal after all the trauma to
>>your body. See what happens after the new doc does his evaluation. You
>>may need to go onto the pill for a while to stabilize your body...Dr.
>>von Almen
>>
>>At Sat, 14 Mar 2009, Gina wrote:
>>>
>>>Well here is my story...
>>>
>>>I gave birth on 10/10/08 & immediately after I severely hemorrhaged (no
>>>ultrasound was performed at the time). I again severely hemorrhaged
>>>twice within 3 weeks after I came home. The last time (November 6th)
>>>led to an emergency D&C to remove remaining placenta, which during the
>>>procedure my uterus was perforated with the instrument and because of
>>>that the instrument then bruised my bowel which led to a temporary
>>>colostomy. And unknowingly I also developed D.I.C. which was finally
>>>realized during these operations. (My hemoglobin was at 2.6 at one
>>>point) I spent 11 days in the hospital which consisted of 5 days in ICU.
>>>I'm lucky to be alive!
>>>
>>>Anyway, I of course was not looking forward to my next period, but it
>>>finally came on 12/31/08 (happy new year to me!) and lasted for only a
>>>full day. Then again I got a heavy period on 01/09/09 and it lasted 2
>>>days. I didn't get another period until 02/09/09 in which that one
>>>lasted a few days. That one too was heavy as well.
>>>
>>>I had the colostomy reversed on 02/23/09. I spent 4 days in the
>>>hospital. And the day after I came home from the hospital I got my
>>>period again and has been non-stop since then. It is now over 2 weeks
>>>since I came home. It's not a heavy period but enough to keep me
>>>worried. I don't have a fever and I'm not sure about the cramping as
>>>I'm still recovering from the surgery. I do have quite a bit of hair
>>>loss which I've consulted with my hematologist and he ran a thyroid
>>>test, CBC & Chem-7 and they came back fine. I've also been resolved of
>>>the D.I.C. before I went into surgery and my surgeon says the reversal
>>>went "better than expected" so I can rule that out.
>>>
>>>My question is "why do I have this continuous period?" I know stress &
>>>anxiety can cause it. I also know surgery can throw it off but this is
>>>getting crazy! By the way, I haven't contacted my OB/GYN as I'm seeing
>>>someone new next week to discuss my issues and develop a new
>>>relationship with a new doc.
>>>
>>>Can you help? Anyone?
>>>
>>>--
>>>Gina
>>>

--
 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.




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