WOMENS-HEALTH Messages for January, 2000: Re: ERT and prolonged bleeding

Re: ERT and prolonged bleeding

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 19 Jan 2000 20:47:15 -0600 (CST)

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At Wed, 19 Jan 2000, KB wrote: >
>I hope you can point me in the right direction. Lately, I feel like I'm
>going around in circles and ending up back right where I begun. Here's
>some history. I'm
>43. I have 2 girls, ages 14 and 12, and one boy, age 8. All were
>normal and healthy deliveries. When I delivered my son, I immediately
>had my tubes tied. No complications at all. However, since the birth
>of my son, (1991)
>my cycle has never been the same (I was always very regular, 5 days,
>etc). Since 1991, I've gone from 16 days apart to 40 days to none at
>all. In 1998, I underwent a D&C, which returned normal, also pap smears
>are normal. My
>hormoned level was then check, along with thyroid. I was told I had
>undergone menopause. I was placed on ERT, (patches). I lasted 2 months
>on them, as the side-effects were unbearable. The DR. then placed me
>on a drug
>called Evista, which was said not to be ERT, more for my bones, etc.
>Then I moved and went to a new doctor for my annual checkup.
>Everything(pap, etc.) came back normal, however, she indicated that I
>was perimenopause
>and not postmenapause. Therefore, she took me off the Evista, as she
>said I should have never been on it. In August, 1999, a month or so
>later, I had a period that lasted over 40 days. In the meantime, the
>DR. said the prolong bleeding was due to the build from the medication
>I was on. She did an ultrasound that show thickening of the uterine
>wall, but indicated the thickening was also from the medication. I also
>had a biopsy taken of the uterus, which returned normal. After all
>this, we waited, and I was then put on provera? to stop the bleeding,
>which it did. Another probe-ultrasound was performed, which indicated
>the wall of the uterus was thinning and back to normal. Then another
>blood test was performed which did determine that I was
>postmenopause. I was put back on the Evista, as I really hadn't any
>trouble before hand. But..this time, I begun experience severe bloating
>after several weeks, where I looked and felt 4 months pregnant. I
>called the gyn.,
>however, they referred me to my family practice. I felt they were fed
>up with, as they told me they didn't treat abnormalities of the abdomin.
>I have seen the family dr. who has examined me and referred me to a
>gastro. This was in November, and I'm still awaiting my Feb.
>appointment. I stopped taking the Evista on my own, and the bloating
>has stopped and reoccured only
>once (just last week). Today, after being off the Evista for a month, I
>begun my period, (just like this past August). I immediately called the
>gyn. and told her the problem reoccuring. She has told me to call if
>the cycle
>runs over 10 days, or if I use a pad within an hour. In the meantime,
>she is calling it "withdrawal bleeding." First, I didn't understand the
>Evista to be estrogen related, and have spoken to two pharmacist who
>agree. I am totally at lost and don't know if I should wait.
>
>Should I perhaps go through another 30 to 40 days of bleeding and chalk
>it up to this type of medicine,
>or should I demand they get to the root of this problem or really have
>they?
>
>I guess I'm wondering if you have ever heard of such, especially the
>Evista and the problems that can occur when coming off of it.
>
>Do women who take normal ERT and decide to go off of it experience
>prolong or any bleeding at all?
>
>I really am at loss, and feel that I'm not getting the proper treatment
>needed to satisfy me.
>
>I really would appreciate your impute and recommendations.
>
>Thank You,
>Karen Bullock

You've had too many cooks spoiling the broth here (sorry to mix metaphors). You need one person to take charge and give it to you like it is. Consider a reproductive endocrinologist.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: question"
Previous message: Susan: "Professional Opinions,please"
In reply to: KB: "ERT and prolonged bleeding"

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