Re: Postpartum spotting

From: DoctorJoe@aol.com
Wed May 28 21:43:56 2008


In a message dated 5/28/08 7:41:03 PM, dr99645@yahoo.com writes:

> 26 yo G2P2 s/p section in December.  postpartum course was complicated by
> endometritis that was managed as an outpatient.  pt recovered and had no
> further pain or fever.  She stopped breast feeding in February and since then has
> been spotting continuously.  I saw her a month ago and thought she had
> irregular bleeding from anovulation and gave her Provera.  It didn't stop the
> bleeding and since she has continued to bleed daily.
>
> Ultrasound was otherwise unremarkable. 
>
> Other than an EMB to rule out something persistent from delivery, is there
> any other suggestions. 
>

Course of estrogen first, followed by progestin?

Joe P.

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