WOMENS-HEALTH Messages for January, 2002: Re: Ultrasound ?

Re: Ultrasound ?

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 9 Jan 2002 11:18:35 -0600 (CST)

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In reply to: Dee: "Ultrasound ?"

At Tue, 8 Jan 2002, Dee wrote: >
>If you have a normal thickness lining on an ultrasound does that mean
>your chances of ca. of slim or not necessarily?
>
>I had one done becasue of some PC bleeding and mid cycle bleeding I was
>having off and on. It was normal as well as exam and pap and he looked
>at cervix with a scope of some kind.
>
>He put me on the pill for a 3 mo. trial to see if it helped and it did,
>I am on my 3rd month now but this month I did have a little blood with
>intercouse on day 7 of the new pack It was the first time it happened
>since adjusting to the pill and no more bleeding after that.
>
>I don't know what to think, I'm concerned do you think I should have
>further testing for endo. or cervical ca.?? I do have fibroids but
>would they cause this problem? I had these problems once before about 2
>years ago and had D&C, biopsy was okay. What would you do with a
>patient with this complaint?
>
>--
>Dee
>

Fibroids can cause this problem, but, depending on your age and the impressions of your doc, an endometrial biopsy is the "gold standard" to ensure that you don't have a problem. A D&C 2 years ago is good, but the luster has worn off a bit. Assuming that you are over 30, I would probably do the EMB just to be sure.

-- 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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Previous message: William McIntosh, MD: "Re: perimenopause/ors/sore breast issues- Dr.'s only please"
In reply to: Dee: "Ultrasound ?"

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