WOMENS-HEALTH Messages for January, 2002: Re: Spotting/Progesterone Challenge

Re: Spotting/Progesterone Challenge

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Wed, 16 Jan 2002 23:10:52 -0600 (CST)

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In reply to: Abigail: "Spotting/Progesterone Challenge"

At Wed, 16 Jan 2002, Abigail wrote: >
>I'm 42. I have been on birth control pills for 20 years and recently
>began spotting mid cycle. My periods have always been scant and no more
>than two days in duration, but the past 10 months or so it has become
>mostly brown fibers and brown spotting - very little I might add. Doc
>did an ultrasound and found "millions of fibroids" - her words. I'm
>sure she's being hyperbolic and I'm not too worried about the "millions"
>part of her description as the 4 largest fibroids are between 2 and 3
>cm. She wanted to perform a hysterectomy, but I bought some wait and
>see time as all the women on my father's side of the family have had
>early menopause (before the age of 45). Doc also did an endometrial
>biopsy and that was negative for ca and hyperplasia. She placed me on
>Prometrium 300 mg for the first 10 days of my cycle. With all that
>history, here's my question. I have taken the Prometrium for the past 5
>months and have not had a bleed after. The two days that coincide with
>my normal period days (from before the prometrium), I am still spotting
>brown blood and some thin fibers. Do you think that this brown spotting
>and fibers are coming from my fibroids? Does it basically sound like I
>have arrived at menopause albeit an early one?

the "fibers" are probably just stringy strnds of blood. Multiple fibroids can certainly contribute to this abnormal bleeding pattern. You certainly could b egoing thru an earlier than average amenopause -- a FSH test can help determine this >
>I will see Doc again in May for another ultrasound to hopefully find
>that the fibroids have shrunk.
>
>Thanks, in advance, for your answers.
>
>--
>Abigail
>

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

author of "Your Over-35 Week-by-Week Pregnancy Guide"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

Next message: M. Kelly Shanahan, MD, FACOG: "Re: [Birth Control] Mircette vs Ortho-Cyclen"
Previous message: M. Kelly Shanahan, MD, FACOG: "Re: no subject received Wed, 16 Jan 2002 17:52:17 -0600"
In reply to: Abigail: "Spotting/Progesterone Challenge"

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