Re: Postpartum spotting.Next step?
From: Cesar Molina (cemolar777@gmail.com)
Thu May 29 13:15:13 2008
If she has spotting and the US show a narrow endometrium is logical that
progesterone will failure to stop the bleeding. Is neccesary a treatment
with estrogen first to increase de thickness of endometrium and after the
progesterone. Problems with the lactancy ??? with the estrogens??
Possible.
2008/5/29, emilio porro <sanbonav@hotmail.com>:
>
> If hcg positive obviously You suspect some tissue producing this Hormone
> (pregnancy ,residual placental tissue,mola or chorionepitelioma)If hcg
> negative what You would do (also to avoid the risk of Asherman syndrome
> following a curettage after postTC endometritis and consequent
> medicolegal problems?)
> Yours faithfully
> Emilio Porro M.D.
>
> ------------------------------
> Date: Thu, 29 May 2008 08:41:34 -0500
> ------------------------------
> From: rd.braun@gmail.com
> ------------------------------
> To: ob-gyn-l@mail.obgyn.net
> Subject: Re: Postpartum spotting
>
> Get an hCG
>
> Dan
>
> On Wed, May 28, 2008 at 8:40 PM, Glen Elrod <dr99645@yahoo.com> 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
>
> --
> R. Daniel Braun, MD FACOG(L) ABMP CMTh
> Professor Emeritus
> Dept. of Obstetrics and Gynecology
> Indiana U. School of Medicine
>
> R. Daniel Braun
>
> "Science without Religion is LAME; Religion without Science is BLIND"
> Einstein 1941
>
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