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Re: An Intersting Case From: James Connerth (babydoc@apex.net) Fri Mar 19 21:32:26 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: An Intersting Case" Previous message: Barborza@aol.com: "Re: Jelly Beans/Glucola" Maybe in reply to: Dr. M. P. Shrivastava: "An Intersting Case" Next in thread: DoctorJoe@aol.com: "Re: An Intersting Case" What did hysteroscopy show?HSG may be worthwhile-perhaps with antibiotic coverage if sed rate elevated or chlamydia antigen positive--is IUCD still in? " Dr. M. P. Shrivastava" wrote: > > 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. Next message: DoctorJoe@aol.com: "Re: An Intersting Case" Previous message: Barborza@aol.com: "Re: Jelly Beans/Glucola" Maybe in reply to: Dr. M. P. Shrivastava: "An Intersting Case" Next in thread: DoctorJoe@aol.com: "Re: An Intersting Case"

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