WOMENS-HEALTH Messages for September, 2002: Re: question about long periods

Re: question about long periods

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 18 Sep 2002 12:38:08 -0500 (CDT)

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In reply to: Marie: "question about long periods"

At Wed, 18 Sep 2002, Marie wrote: >
>I'm 48, generally healthy, not overweight, no smoking, no endo (tests
>have been done on this), not on BCP or anything else. I do have high
>blood pressure from some stress happening in my life right now so I
>can't take any estrogen anyway. My periods have been following the
>following pattern for some time now: a 5-6 days of crampy heavy bleeding
>and then a couple of days of spotting and then another week or two of
>on/off again (an episode once or twice a day) bleeding with very mild
>cramps. Do I have too much estrogen or too much progesterone? Is the
>"period after my period" considered break through bleeding (because it's
>not continous) from too much progesterone, or is the lining of my uterus
>breaking off from too much estrogen? Are my assumptions correct about
>this? Since I can't go on the BCP, what can I do for this? I hate to
>think I am now one of those women who cannot have sex anymore because
>she's on her period all the time. My husband is ready to leave me and
>frankly, I don't blame him because I'm depressed over it and not a happy
>camper to be around. Docs say there's nothing I can do except have a
>hysterectomy. Thanks for any suggestions.

Tissue sampling would be the first thing to do in anyone over 35 with abnormal bleeding of this nature. Endometrial biopsy, then possible sonohysterogram or hysteroscopy depending on several factors including biopsy results.

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

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Next message: pc807: "Hysteroscopy Questions"
Previous message: R. Daniel Braun, MD: "Re: 10 lb weight loss since 19 Aug"
In reply to: Marie: "question about long periods"

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