Re: irregular menstruation and myoma utery
From: John Essien MD (anonymous@obgyn.net)
Sat, 30 Nov 2002 08:06:36 -0600 (CST)
The procedure of choice depends on a number of factors, among them the
age of the patient, the severity of the symptoms, as well as the size
and speed of growth of the fibroids. IF the bleeding can be controlled
by medication, there might not be a need to perform surgery; on the
other hand, surgery will effectively eliminate the cause of the
bleeding, which in your case seems to be the fibroids.
At Sat, 30 Nov 2002, Ria wrote:
>
>Dear Doctors,
>>From 12 Oct 2002 to Nov 2002 I got spot vaginal bleeding and between 25
>Oct till 29 Oct the blood volume was as much as the 2nd day of my normal
>menstruation. But it was continued with spot bleeding again until 12
>Nov 2002. At 12 Nov 2002 I went to the gynecologist, he suggest me
>currettgae and I did it. But after 1 week later the bleeding was not
>stop so I went to another gynecologist because the first doctor said to
>me thet there is a myoma utery and suggest me to do hysterectomy. The
>second doctor give me a planning treatment as follow : Endometril 2x1tab
>+Transamin 3x1tab for 15 days and then stop wait until I get my periode.
>The first day of my periode start again with Premarin 0.3 1x1 tab for 15
>days. The 16th days start with Endometril 2x1tab for 10 days. Wait and
>se wahat will happen with my periode. If the periode back to normal
>stop the pills.
>If there is not regular anymore repeat it 3 months then stop and wait
>and see.
>
>In fact, after I took the Endometril+Transamin 2 days the bleeding was
>stop until now.
>
>I am 49.5 years old. This spot bleeding is my first experience.
>
>My question :
>1. Would you like to tell me about the standart procedure treatment for
>this
> condition ?
>2. What should I do with my myoma, based on USG on 21 Nov 02, The
>measure of
>myoma is 42.6mm x 44.0 mm and the uterus is A 142 mm L 139 mm D 102 mm
>
>Your respond is very hopefully and I appreciate your attention.
>Thank you.
>
>Mrs Ria.
--
John Essien, M.D. SOCOG
Camaguey, Cuba; Basseterre, St. Kitts
http://www.obgyn.net/all_advisors/J_Essien.htm
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