WOMENS-HEALTH Messages for December, 2000: hormones vs polyp

hormones vs polyp

From: Bekka (anonymous@obgyn.net)
Tue, 19 Dec 2000 08:50:22 -0600 (CST)

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Reply: William McIntosh, MD: "Re: hormones vs polyp"

Dear Doc

I'd be very grateful if you could review my facts and answer the questions below ;

Facts : Suffer extreme spasms of pain every 4-8 months for last 4 years, each attack lasts 40 minutes and not linked to sex or any particular time of month.

Experience brown spotting following after period (5-8 days) and after ovulation until day 1 of next cycle. Time around ovulation free of spotting.

Charts show temp shift mid cycle and ovulation predictor kit gives +ve result just before temp shift.

Period is only 1 day of light flow red blood (followed by the brown spotting).

Day 5 and day 21 blood tests show progesterone levels good (80 after ovulation).

Trying to conceive for 6 months.

Questions : My doc says the spasms are 'smooth muscle spasms'. Is there treatment for this?

My doc suggests spotting caused by a polyp rather than hormonal imbalance. Would you agree considering no spotting occurs around ovulation (spotting 2 days after ov) and progesterone levels are good. He wants to conduct a laparoscopy and hysteroscopy to check tubes, find/remove polyp. He says luteal phase defect is very rare.

Why is my period so light even though progesterone levels are good?

Many thanks for your time. Bekka

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Reply: William McIntosh, MD: "Re: hormones vs polyp"

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