WOMENS-HEALTH Messages for August, 2001: Re: Biopsy Results About Breakthrough Bleeding

Re: Biopsy Results About Breakthrough Bleeding

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 21 Aug 2001 17:18:00 -0500 (CDT)

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Reply: Patti: "Re: Biopsy Results About Breakthrough Bleeding"

At Tue, 21 Aug 2001, Patti wrote: >
>I just called my gyno for the results of my endometrial biopsy done
>during my breakthrough bleeding. He said it shows I'm on the pill. He
>read from the report that it said "results are consistent with hormonal
>changes". I asked him what that meant and again he said that it means
>I'm on the pill. Is that what it means? To me what does it mean by
>hormonal changes? I am off the pill now for my 7 days and I know I will
>not get a period cause I haven't since November. I asked him about the
>painkillers I had been taking, the ibupropen and the fiorinals and
>fioricets due to the traffic accident that I was in. He said that
>wouldn't cause breakthrough bleeding.
>
>Does what he told me mean that the hyperplasia is under control and that
>I should stay on the Loestrin 120? Can I ask what causes breakthrough
>bleeding? What happens if it occurs again when I start up on the pill
>again after the 7 days is over? Thanks.

Your biopsy indicates that you no longer have hyperplasia. Staying on the pill is up to you and your doctor. Breakthrough bleeding is a waste basket of many different causes for bleeding. At a guess, I would imagine that yours is from endometrial suppression.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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