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An Intersting CaseFrom: Dr. M. P. Shrivastava (mpshrivastava@healthnet.org.np)Sat Mar 20 08:22:30 1999
I apologize for some mistakes while sending my first e-mail. So I am sending again for the response. From: Veena Shrivastava < mpshrivastava@healthnet.org.np > Subject: Interesting case A young lady aged 24 years had TOP ( Termination of pregnancy) at 12 weeks, 2 years back. 6 months after TOP , she came back to me with the complaints of Sec. amenorrhoea and excessive vaginal discharge. 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 hormonal therapy she had regular period ,but she is again amenorrhoea 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 the 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.
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