|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
An Intersting CaseFrom: Dr. M. P. Shrivastava (mpshrivastava@healthnet.org.np)Fri Mar 19 21:04:50 1999
From: Veena Shrivastava < mpshrivastava@healthnet.org.np > Subject: Interesting case A young lady aged 24 years had TOP ( Termination of pregnancy) at 12 weeks period, 2 years back. 6 months after TOP , she came back to me with the complaints of Sec. amenorrhoea and excessive vaginal bleeding. She had period once after TOP, after that she is not having her regular period. After two courses of antibiotics keeping in mind that she may be suffering from "Asherman's Syndrome" , Hysteroscopy and D & C was performed and CuT was put inside the uterine cavity. She was put on oestrogen & progesterone for 3 months. As long as she was on hormone she had regular period ,but she is again amenorrhoic and is having excessive muco-purulent vaginal discharge after discontinuing the hormonal therapy. The investigations done were: 1. HVS Smear: ( Gram's stain) :- Plenty of epetheloid cells, pus cells and few gram's negative bacilli seen. 2. HVS Culture:- No growth 3. VDRL & HIV Antibiotics:- Negative 4. Blood count:- within normal limits. Unfortunately I have not checked her for Tuberculosis and hormonal profile. The lady is nulliparous and keeps going to Hongkong with her husband for business. Any suggestion for treating this patient would be highly appreciated. DR. VEENA SHRIVASTAVA CONSULTANT GYNAECOLOGIST POST BOX- 5813 KATHMANDU, NEPAL.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:27:54 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.