WOMENS-HEALTH Messages for October, 2001: Hysteroscopy/D&C vs. Progesterone Therapy??? Post-Partum treatment

Hysteroscopy/D&C vs. Progesterone Therapy??? Post-Partum treatment

From: Amy (anonymous@obgyn.net)
Wed, 17 Oct 2001 12:31:36 -0500 (CDT)

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Reply: Lynn D. Montgomery, MD: "Re: Hysteroscopy/D&C vs. Progesterone Therapy??? Post-Partum treatment"

I am 14 weeks post-partum, breastfeeding, and still having spotting and tenderness in the uterine area. A friend of mine is 13 weeks post-partum, breastfeeding, and experiencing the same exact symptoms. (The spotting we are experiencing is very slight, only enough that the protection of a pantyliner is sufficient.)

My doctor performed an ultrasound on me and found calcifications in my uterus. The course of action is a D&C/hysteroscopy to extract the calcifications.

My friend's doctor has not done an ultrasound and claims the prolonged bleeding is due to breastfeeding. He is going to start her on the minipill (which *could* affect her milk supply) to bring about menstruation with the idea that a period will "clean her out." When I told her of my diagnosis, she became concerned that perhaps she, too, has calcifications and requested an ultrasound from her doctor. He refused and said that even if there were calcifications, the treatment would still be hormone therapy.

Is hormone therapy to bring about a period a viable treatment for calcifications? I'm assuming (and of course, I'm not educated in this matter) that her doctor believes that the shedding of the lining of the uterus that happens when a period occurs will be enough to remove any calcifications if there aer any.

She is worried now and I'd like to ease her mind. She doesn't want to take anything that *could* affect her milk supply. Should she get a second opinion or be a little more aggressive in getting that ultrasound?

One other question. My anesthesia will be MAC and I'm concerned how that will affect breastfeeding. How long will I have to pump and dump after surgery before I can nurse my baby again?

Thank you so much in advance for answering my questions.

--
Amy

Next message: Lynn D. Montgomery, MD: "Re: ectopic and re-trying"
Previous message: tricia: "[Birth Control] mini-pill and antibiotics??"
Next in thread: Lynn D. Montgomery, MD: "Re: Hysteroscopy/D&C vs. Progesterone Therapy??? Post-Partum treatment"
Reply: Lynn D. Montgomery, MD: "Re: Hysteroscopy/D&C vs. Progesterone Therapy??? Post-Partum treatment"

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