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Re: 6 months postpartum bleeding and endometritis(Tanya)From: ani (anonymous@obgyn.net)Thu, 11 Jan 2001 11:32:19 -0600 (CST)
At Thu, 11 Jan 2001, Peggy wrote: > >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 ;-) >> I agree. You need another doctor! Be careful... not many know much about endo!
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