WOMENS-HEALTH Messages for July, 2000: Re: Irregular bleeding for 9 months

Re: Irregular bleeding for 9 months

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 31 Jul 2000 19:58:33 -0500 (CDT)

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In reply to: Sue: "Irregular bleeding for 9 months"

At Mon, 31 Jul 2000, Sue wrote: >
>Hi, I have posted here before regarding irregular bleeding. I am 37 and
>have 3 children. Since a miscarriage and D & C 9 months ago, I have
>slight bleeding during the days after my period, and then slight
>spotting throughout the whole cycle every few days. I hardly get a few
>days without any spot. The doc thinks it is a hormonal problem and
>tried all kind of hormonal medication, which helped a little, and even
>one month was normal and spottless, and then on the same medicine the
>next month I had mid-cycle bleeding again. Last cycle was without
>medication, and every few days I had very minor blood strings, almost
>not to be noticed. All hormone levels were normal, all ultrasounds
>(regular, not saline) were normal. The whole story makes me very
>nervous, to say the least.
>
>Well now the gyn has given up on hormonal medication, and wants to send
>me for a hysteroscopy. One of the docs on this forum

Me and others.

>suggested
>sonohysterogram and endometrial biopsy, and when I asked my gyn about
>it, he said the hysteroscopy is better and they will take a biopsy only
>if they see something suspicious. My question now is, does the
>hysteroscopy seem to be an appropriate choice at this point to find the
>root of my problem?

It would be adequate but I still like a tissue diagnosis as well (endometrial biopsy).

>Are there things that the hysteroscopy might miss,
>but could be detected with sono and biopsy?

The sonohyst can frequently tell the difference betweena small fibroid and a polyp, not a big problem either way whereas the hyst may or may not. The hyst. can't tell you about any irregularities in the the microscopic lining of the uterus which may indicate hormonal dysfunction.

>Thank you for your help, this site is wonderful!

Hope this helps.

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

**Note:  Opinions expressed here are for educational purposes only
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Next message: jwang,MD: "Re: pain and bleeding during sex"
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In reply to: Sue: "Irregular bleeding for 9 months"

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