WOMENS-HEALTH Messages for December, 2002: Re: Wondering if this is normal??

Re: Wondering if this is normal??

From: samir fouad Aziz MD (anonymous@obgyn.net)
Tue, 31 Dec 2002 09:16:17 -0600 (CST)

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In reply to: Dee: "Wondering if this is normal??"

At Mon, 30 Dec 2002, Dee wrote: >
>I am 28 yrs. old, had 2 sucessful vaginal births, 0
>miscarriages/abortions. Before my first pregnancy, my periods would
>last 3-5 days. After my 2nd pregnancy, they lasted up to 9 days. My
>2nd pregnancy was 2 years ago. I started my last period Dec. 9 & ended
>Dec. 13. Last week, I started "spotting" (looked like discharge tinged
>with blood) when I urinated. Afterwards, I saw blood clots (the kind I
>have when on my period). I have always had abnormal periods, going
>months without having 1, but I have NEVER spotted. I was also having
>lower back pain as if I was about to start my period again, which was a
>sign that something was wrong because I just ended my period a few days
>before. I am not pregnant. It feels almost as if my uterus is
>"clogged". What causes this to happen (if it is "clogging") & what is
>the treatment used? I have read about fibroids, cysts, endometriosis,
>etc., & have found some but not all symptoms to be similar to mine. I
>would also like to know what problems an OB/GYN would classify my being
>a candidate for a hysterectomy? My husband & I are going to try to have
>1 more child, not before I turn 30 but not after 32, & with all of the
>problems I have with my cycle, (absence of period, or VERY painful
>cycles) I would like to request after my 3rd child to have a
>hysterectomy. I don't think it is fair that I should have to live with
>pain, & I don't want to be on birth control until I reach menopause just
>to have a period, which is what my OB/GYN prescribed as a solution to my
>not having regular cycles.

check firswt to exclude fibroid or endometrial hyperplasia which will need endometrial biopsy..prolonged duration without a period, indicate you are not ovulating with continuous estrogen secretion unopposed with progesterone which increases the chances of endometrial hyperplasia.after excluding any lesion you can start progesterone to regulate the cycle of use fertility drugs if you want pregnancy

--
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

Next message: samir fouad Aziz MD: "Re: Swollen Lymph Nodes"
Previous message: samir fouad Aziz MD: "Re: mild dysplasia and cryo?"
In reply to: Dee: "Wondering if this is normal??"

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