Re: post - Bleeding, Bleeding, Bleeding (Almost 3 Months)
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 28 Jan 2001 21:07:01 -0600 (CST)
With large fibroids, if the bleeding is due to fibroids, there's not
much you can do other than Lupron to put you in a chemical menopause.
There are pros and cons to this medication - please check the archives
for tons on info on both sides. As you get closer to menopause, the
chance of going into menopause, after a few months of Lupron, increases.
An endometrial biopsy should be done to evaluate the lining of the
uterus. If everything is fine, it's all due to the fibroids. If not,
hormone therapy (short term) may be indicated despite the smoking.
BTW, smoking is not good for you. :-)
Hope this helps and write back anytime for more information.
HSM
At Sun, 28 Jan 2001, Kazuri wrote:
>
>Good Evening,
>
>I hope there is no rule against reposting (unanswered) questions to the
>forum, but I am to the point of desparation. Can anyone assist with
>suggestions that I can discuss with my doctor?
>
>Repost follows:
>
>Hello, I am 47, and have "lots of fibroids" (<--the answer a doc gave
>subsequent to an ultra-sound). Two years ago, I experienced a sudden
>onset of heavy bleeding for which I was prescribed Provera. I do not
>remember the dosage or the duration I took the meds. No problems after
>that until.... Almost 2 years to the day, the same excessive (*very*
>heavy, prolonged, w/clotting) bleeding occurred. No pain during either
>incident. In the latter part of 9/00 (during the second episode of
>heavy bleeding), I did what I now consider to be a really stupid thing;
>requested a shot of Depo-Provera. *BAD* idea. The bleeding stopped
>after a few days for all of about 3 weeks at which time, I had what I
>thought was a period (albiet, rather light).
>After several days, I contacted a doc who advised this was "breakthrough
>bleeding". Five days Provera. No change. Btw, a few weeks after the
>shot, I noticed *intense* mood swings, what could be labeled as
>depression, periodic headaches - I do *not* get headaches!. Frankly,
>most times I felt like a nut more often than not, etc. - this continued
>until after I saw the doc on 1/8/01) Waited until after the holidays and
>went to the doc (still bleeding) who prescribed Provera (14 days) and
>Premarin (.03) (I mentioned occasional flashes - not bothersome really
>and trouble *staying* asleep - which consequently resulted in daily
>fatigue) daily. Took the prescribed dosage of Provera, continued the
>Premarin, noticed a low-grade, but *continual*
>headache, and, here I sit, still bleeding. Yes, doc did tests, took
>cultures and smears. Said if there were any abnormalities, she'd call.
>No call, and here I sit, still bleeding. Stopped taking the Premarin
>two days ago; no headache today. But, here I sit, still bleeding. And,
>it is getting on my nerves. Nov 00 to present, still bleeding.
>Suggestions?
>
>Forgot to mention, that for the past few (almost 3) years, my periods
>which were regular as clockwork for the majority of my life, became
>sporadic. With the progression of time, I was having fewer and fewer.
>As a matter of fact, just prior to the last heavy bleeding episode
>(9/00), I recall that it had been a few months since I'd had one. Which
>was the way it had been on and off for the past few years. From between
>29-31 days to as long as 80+ in between.
>
>Btw, the last doc I saw was going to suggest b/c pills (prior to even
>asking my history, mind you). I told her that I did not think it would
>be a good idea in that not only am I overweight (really don't like that
>word, but....), but, I am a smoker. :o( I also take 1/2 tablet of
>Tenormin (25 mgs) and 1/2 tab Hydrochlorithiazide (the orange ones)
>daily for mild hypertension. She ruled out the b/c's after I *gave* her
>my history, unsolicted......
>
>I am not interested in a hysto. I am not in pain, had one bad cramping
>session once in *life* (I began my period at age 10), and, other than
>the two bouts of bleeding (two years apart) and my present situation, I
>am otherwise waiting to transition into the big M with everthing still
>intact.
>
>Still waking up nightly, still tired all day/most days, and *still*
>bleeding.
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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