WOMENS-HEALTH Messages for May, 1998: Re: Anemia

Re: Anemia

From: Elaine (anonymous@obgyn.net)
Wed, 27 May 1998 16:41:14 -0500 (CDT)

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In reply to: J.Glenn Bradley MD: "Re: Anemia"

At Mon, 25 May 1998, J.Glenn Bradley MD wrote: >
>At Sun, 24 May 1998, Elaine wrote:
>>
>>I am 43 years old and have been experiencing heavy periods for quite a
>>while now. I had a tubal ligation 7 years ago and the bleeding has
>>gotten continuously worse over the years. I had an endometrial biopsy
>>done and the diagnosis was endometrial hyperplasia (about 2 yrs ago). On
>>my last visit in October to the gyn. he said that I was probably not
>>ovulating anymore, hence the thick uterine lining. I am always tired,
>>and at the time of my period getting extremely weak and feeling bad, not
>>able to do much of anything, feeling like I may black out. I had a
>>blood test done about 3 weeks ago, about a week after my period started
>>and the hemo. was 10. My Dr. said a count of 10 would not make me
>>feel this bad. Could the blood count actually be going lower at the
>>time of the bleeding? I have tried oral progesterone treatment, but made
>
>Elaine: endometrial ablation is a great and simple operation for heavy
>bleeders most of the time. There are however certain contraindications,
>and hyperplasia is often one of them as a certain type has a
>pre-cancerous connotation. If it is only simple hyperplasia, with no
>atypia, then I feel comfortable performing the surgery. Do ask your
>Doc. Your degree of incapacitation IMHO sounds like you need to do
>something. If ablation is not feasible, have the hysterectomy,and get
>on with enjoying your life. Right now you are a pelvic cripple in a
>sense.
>
>Dr.B
>>me retain an extreme amount of fluid, so I discontinued them. I
>>definitely have to do something to correct this, and have been weighing
>>the options of a hysterectomy or endometrial ablation. I'm very
>>confused. Any suggestions?
>>
>>--
>>Elaine H.
>>

-- Dr. B - Thanks for your reply. I am truly tired of feeling tired, and obviously it is getting worse. I thought I would be able to "wait this out", but I don't believe that will be possible. Is this a typical condition that calls for a hysterectomy or ablation? Do you believe having a tubal ligation has anything to do with this condition. (The hyperplasia was not atypical).

Thanks Elaine

Next message: Rachel: "inflammed uterus"
Previous message: Sue: "Low progesterone?"
In reply to: J.Glenn Bradley MD: "Re: Anemia"

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