WOMENS-HEALTH Messages for August, 2000: Re: menorrhagia, pcos, fibroid, oh heck I am a mess!

Re: menorrhagia, pcos, fibroid, oh heck I am a mess!

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 4 Aug 2000 07:00:17 -0500 (CDT)

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In reply to: Kate: "menorrhagia, pcos, fibroid, oh heck I am a mess!"

At Thu, 3 Aug 2000, Kate wrote: >
>I am 31 yrs old. I currently am bleeding for 8 days with soaking,
>flooding and large clots. I have very abnormal cycles this one was 15
>days. The previous was normal (moderate flow 5 days, no flodding
>soaking etc.) I have at time skipped 2-3 months at a time. My GYN
>history is such.
>
>1st Menses age 14
>child age 20
>diagnosed with PCOS after laproscopy in 1995, cysts were viewed and one
>burst during procedure. low dose pill as treatment.
>child age 28
>d&c for menorrhagia, small fibroid noted (size of pea)
>2/2000 pelic/vaginal ultra sound shows mild uterine thickening (pre
>menses) and 2.5 cm cyst on right ovary (site of pain)
>
>medical history: obesity
>
>As of today my obgyn has given me levaquin and low dose pills, if in 5
>days d&c is suggested. No, bloodwork was done just an internal.
>Antibiotics given for inflammed pelvis and slight fever. (my guess cyst
>burst and mild infection present but I am not a dr.)
>In my research I have read much information and have several questions.
>
>1. Before another d&c is done wouldn't it be advisable that I have an
>endometrial biopsy done as well as fsh/lsh hormone testing?
>

Perhaps endometrial biopsy instead of D & C

>2. I once used Depo-Provera as birth control for 3 yrs with total lack
>of menses. (1992-1995) Is it logical to think that resumiong this form
>of therapy may stop menses again?
>

Sure might. If menses do occur however, they will probably still be quite heavy. Due to Fibroids

>3. Along with pill, antibiotic and 800mg of motrin, how much iron
>should I be taking. I am just begining to feel fatigued and probably
>slightly anemic.
>

325 mg of Ferrous Sulfate once or twice a day would be good. If bleeding is that heavy, a blood count might be in order.

>4.How long is to long to bleed?
>

Depends on blood count.

>5. This can't be lining shedding anymore, am I just "bleeding out?"
>

Fibroids cause some special problems that lead to just that , bleeding out.

>Thanks for any input, I plan to take these questions and any response
>for a 2nd opinion. (rather quickly)

Good idea

RDB

-- R.Daniel Braun, MD FACOG FOG

**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 ;-)

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Next message: CMM: "Abnormal 'normal' paps after surgery"
Previous message: R. Daniel Braun, MD: "Re: Should hubby be treated for BV and yeast?"
In reply to: Kate: "menorrhagia, pcos, fibroid, oh heck I am a mess!"

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