Re: Spontaneous bleeding--what's causing it?
From: =?iso-8859-2?q?Zalányi Sámuel?= (anonymous@obgyn.net)
Tue, 3 Apr 2001 06:40:26 +0100 (MET DST)
Hi Zowie,
Endometrium is not always taken into account when different medication are started (or stopped). You write your endometrium was thin, which means you were low on estrogens besides taking BCP. Now when you stopped the pill the same thing happened whenever you stop it: a withdrawal bleeding. I have read your earlier posting and I wondered what a regimen you werer put on but did not want to interfere. But if your bleeding does not stop within 7 days there are two options left: a curettage to clear the inner surface of your womb or to build up your endometrium. I posted a letter about this method which seems to be unknown (or unpracticed in Englsih speaking countries)
Sam (Ob/Gyn,RE)
> Hello everyone,
> I posted my update on the general board after seeing the RE for the
> first time on Friday. For those that haven't read it, they said my PCOS
> was so severe that they can't treat it right now, so they gave me
> Avandia to take, and administered a shot of Lupron Depot (3 month dose)
> to chemically induce an early menopause--hoping that that, combined with
> the Avandia, would cause my body to be more "normal" and lose weight (at
> least 100 lbs) so that I CAN be treated. They explained that because of
> my weight, I'm in a continuous cycle and the only way to break it, is by
> having this shot and giving me Avandia. Well, that was Friday, and
> today, I started having another full blown period without warning. My
> last period was March 21-26 (wow! only 6 days!). I want to add that
> they also did a vaginal ultrasound (which DID show the cysts on my
> ovaries--even though the last one only about 1½ months ago showed NONE
> supposedly) and showed that my uterus lining was THIN. This bleeding
> just hit me full force and yes, clotting as well. The odd thing is that
> I can't understand where the blood came from (I wasn't told that this
> may happen from the shot), and why, within hours, it's tapered down, yet
> still consistent. I called the nurse and informed her that I had just
> taken a pill for my back pain--I sprained my back and was told to take
> this pill twice a day with food--"Flurbiprofen (Ansaid)" and she thought
> that may be what's causing the bleeding. Because of my horrible
> periods, I'm always told NOT to take ibuprofen, acetaminophen, etc. as
> they can cause clotting. The nurse didn't recognize this medication and
> wondered if it is the culprit. I haven't taken my 2nd one today, trying
> to determine if it's this back pill that caused this, but I'm hoping
> someone out there has an answer for me. I've heard of others being
> given a Lupron shot and was wondering what to expect. All I've been
> told is that I may have hot flashes and vaginal dryness (both of which
> they said they can do nothing about), and a decreased libido (as if
> that's possible). Anyone else have this "reaction" when given Lupron?
> It's been 3 days since I got the shot, and I haven't taken my BCP since
> (they told me not to). Now, remember, the BCP is the ONLY thing that
> keeps me regular (I'll bleed constantly without it), so how does that
> play a factor in this?? Any ideas?? I'm sorry it's so long, but I'm so
> confused. The nurses don't have any answers for me and the last one I
> spoke to won't even book me a follow up appt. Please send along your
> comments. Thanks!
>
> --
> -- Zowie :)
>
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