WOMENS-HEALTH Messages for July, 2009: Re: MENORRHAGIA: How long can DUB last? How long can I go without biopsy?

Re: MENORRHAGIA: How long can DUB last? How long can I go without biopsy?

From: dr.narayan patel (anonymous@obgyn.net)
Mon, 20 Jul 2009 22:40:48 -0500 (CDT)

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In reply to: MMURF: "MENORRHAGIA: How long can DUB last? How long can I go without biopsy?"

At Mon, 20 Jul 2009, MMURF wrote: >
>I am 52 years old and have had irregular periods for the last 2 years,
>generally light altho infrequent. This is my first post to this board.
>
>On July 1st, 13 days after my last period, I started bleeding and would
>go thru a super tampon about every 3-4 hours. On July 16, my gyn put me
>on Loestrin at triple dose for a week. It stopped the bleeding by the
>next evening, but that set off a terrible migraine and I stopped after 2
>days. My blood work was ok - no anemia. My questions:
>
>My gyn would like to do a biopsy, but cannot until the bleeding stops.
>How long can this bleeding last without using a birth control pill?
>
>Since I cannot seem to tolerate the birth control pills which stopped
>it, do I have any alternatives to the BCP to get the bleeding to stop?
>
>How long can this go on without getting a biopsy to rule out endometrial
>cancer? This is my main concern. Are there any alternatives to the
>biopsy while bleeding?
>
>Also, I am scheduled to get a pelvic ultrasound - what can this tell the
>gyn re the condition and endometrial cancer?
>
>Thank you!

Hi, Any irregular bleeding in late age needs careful investigation as in your case. Pelvic ultra sound is must and first to know condition of endometrium. If endometrial thickness is more than 12 mm ,is is desirabe to get D & c and biopsy to rull out endometrial malignancy or otherwise. Oralcontraceptives in over dose to stop bleeding is just a temporary measure and not a specific tratment. One can do D & c even when you are bleeding. Dr.Narayan Patel M.D. D.G.O. FICS Ahmedabd-380014 INDIA 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;

Next message: sherbear411: "PREGNANCY: ultrasound accuracy"
Previous message: Amy Rosenman, M.D.: "Re: UROGYNECOLOGY: Painful Urination -- Not a UTI or other infection?"
In reply to: MMURF: "MENORRHAGIA: How long can DUB last? How long can I go without biopsy?"

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