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Re: 6 months postpartum bleeding and endometritis(Tanya)
From: Peggy (anonymous@obgyn.net)
Thu, 11 Jan 2001 10:10:32 -0600 (CST)
At Wed, 10 Jan 2001, Lynn D. Montgomery, MD wrote:
>>Tonya,
I am not a Dr. but would like to comment on some of the things you
wrote.First off I am sorry that you are having such problems after the
birth of your child.One question I am curious about is why your Dr. put
you on Estrogen replacement therepy especially with having
endometriosis. The other thing is did your Dr. say he put you on an
antibiotic for the endometriosis? Endometriosis is not any type of
infection and there is no cure for it even if you have a hysterectomy.
Would your Dr. be removing your ovaries? Please take my advice and seek
another opinion from a different Dr. before deciding on a hysterectomy.
You are way too young.I hope you don't mind my opinions.
Peggy
>At Wed, 10 Jan 2001, Tonya wrote:
>>
>>I have been bleeding for 6 months now following the cesarian delivery of
>>my baby in July 2000. The flow is heavy at times and sometimes very
>>light, but has been continuing every day now. I have iron deficincey
>>anemia, leukocytois, and a low grade fever ranging from 99 to 101 on a
>>day to day basis and have had several other types of infections since my
>>baby's birth. I have had pelvic, abdomen, and chest CT scans, a bone
>>marrow biopsy, and many other tests. All of the tests came back normal
>>except for the uterine biopsy. I have been diagnosed with endometritis
>>which is not responding to antibiotic therapy. I have been on 2
>>regimens of Augmentin 875mg bid and a Z pack as well as other
>>antibiotics. I have tried estrogen replacement therapy as well. I have
>>also had a D&C. I am still in pain, bleeding, with fever, and
>>leukocytosis. My doctor is now saying that the only way to stop the
>>bleeding may be to do a hysterectomy. Is that really the only option
>>left? I am only 24 years old.
>>
>>--
>>Any information would be very appreciated. Tonya
>>
>Tonya,
>First let me say that it is very hard to come into a compicated case of
>six months duration and comment completely. That said, the first thing
>I would want to make sure they have ruled-out is septic pelvic
>thrombophlebitis. Second, I would certainly consider a hysteroscopy to
>see what in the world is going on within the uterus, i.e. retained
>placental fragments that are "grown into" the uterine lining, etc.
>Third, have IV antibiotics been tried...
>Without having the chart, that is the most I can suggest...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
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