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Re: Abnormal Bleeding

From: D. Ashley Hill, MD (anonymous@obgyn.net)
Mon, 20 Mar 2000 19:30:20 -0600 (CST)


At Mon, 20 Mar 2000, jennifer wrote: >
>I started my period on October 20, 1999, and have been bleeding ever
>since (3/20/00).

This is an unusual situation, as you have had an extensive (and expensive) evaluation. Some other things that might be the cause include a bleeding disorder (like von Willebrand's syndrome), adenomyosis (where the lining of the uterus grows into the muscle), endometritis (an infection of the uterine lining and uterus) or a very thin, denuded uterine lining. Blood tests will diagnose the first condition, an MRI, deep uterine biopsy, or hysterectomy will diagnose the second, antibiotics are taken empirically for the third, and the fourth condition is diagnosed by vaginal ultrasound and treated with a course of estrogen (not the birth control pill, which contains more progesterone than estrogen). Good luck. I'm sure this is a frustrating problem.

--
David Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
http://home.mpinet.net/dahmd

My apologies, but due to time constraints I am unable to answer private e-mails.






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