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Re: ? for a doctor only please - ? how being put on the bcp for DUB is diagnostic

From: samir fouad Aziz MD (anonymous@obgyn.net)
Tue, 24 Dec 2002 08:32:08 -0600 (CST)


At Mon, 23 Dec 2002, Chelsea wrote: >
>Hi,
>
>I have dysfunctional uterine bleeding (or so they tell me). I went 42
>days straight with bleeding. My hemoglobin levels dropped continously
>through this time thus, anemia got worse and worse. This concerned my
>doctor.
>
>After several phone conversations with my doctor and after having tried
>progesterone for 10 days, which didn't stop the bleeding, I saw my
>doctor last week. Since I was still bleeding (I assume), he didn't
>examine me. He said that the birth control pill would stop the
>bleeding. He put me on Ortho Novum 777. After three days on the pill,
>the bleeding finally stopped.
>
>Though happy that the bleeding has stopped, I wonder just how (or if)
>putting me on the birth control pill tells the doctor the cause of my
>DUB. Is this a diagnostic measure, and if so how so, or does it simply
>just stop the problem without determining what the cause of the problem
>is and thus, I'm only masking the problem with medication.
>
>Thanks
>
>your age is important since DUB is very common in young and near menopause,however, it is better to investigate and exclude any cause before assuming it is DUB.at least endometrial biopsy and ultrasonography to exclude uterine or adenexa pathology and coagulation tests.
>--
>Chelsea
>

--
SAmir Fouad Aziz MD
Assist Professor OB.Gyn
Director Gyn.oncology
Al-Azhar University-Egypt
Editorial advisor OBgyn.net(P&B,Gyn.Oncology)
Consultant Editor the contemporary Who's Who
This is for teaching purposes only





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