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Re: A Question about Passing Very Large Clots

From: James Connerth MD (anonymous@obgyn.net)
Tue, 17 Nov 1998 12:58:51 -0600 (CST)


At Tue, 17 Nov 1998, Sue wrote: >
>I'm 41 years old, have had two pregnancies which resulted in two healthy
>children and had a tubal ligation twenty years ago after the birth of my
>second child.

Some physicians feel tubal ligations can lead to later increased bleeding and pain--this is also borne out in some recent studies--though more common in women who had irregular bleeding prior to the surgery.Fibroids(seen in 30-80% of women)can cause similar problems.Occasional skipping ovulation in the perimenopausal period may lead to estrogen excess and heavy bleeding.If an anatomic factor can be ruled out by sonogram or sonohysterogram,a trial of low dose BCP's often will slove the problem.Would suggest some type of iron tab with folic acid to prevent anemia.

--
JConnerth md facog



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