Re: Postpartum spotting

From: Charles Bloom (cdsb@bellsouth.net)
Thu May 29 05:39:49 2008


I hope Glen did an HCG before giving the Provera. She may have had new POC instead of retained.

Charles

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Thursday, May 29, 2008 12:08 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Postpartum spotting

HCG. Don't forget GTD, though unlikely.

SIS may find a spot of retained POC, too, perhaps more sensitive than a blind biopsy.

Garry

At Wed, 28 May 2008, Glen Elrod wrote: >
>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. >
>thanks,
>
>Glen

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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