WOMENS-HEALTH Messages for January, 2008: Re: MENORRHAGIA: Diagnostic tests

Re: MENORRHAGIA: Diagnostic tests

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Thu, 24 Jan 2008 23:24:24 -0600 (CST)

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In reply to: Lori: "MENORRHAGIA: Diagnostic tests"

Generally speaking, it's unusual for a doctor to keep trying medications or other therapies without knowing the diagnosis. You don't mention your age, but if you are over 35 (some would say over 40) then you likely need a biopsy of your uterine lining. This takes seconds and is done in the office. The rest of your workup would depend on your history and exam findings, but might include: vaginal sonogram, saline vaginal sonogram, hysteroscopy (thin tube placed into uterus to look around). Given your history, I would suggest speaking with your doctor, and if this does not result in further action, a second opinion. Best wishes,

-- D. Ashley Hill, MD

At Thu, 24 Jan 2008, Lori wrote: > >I started having heavy periods that came closer and closer together >until they were finally 2 weeks apart before I went to see my gyne. He >has tried me on 3 different things, the first high estrogen pill caused >depression, the low estrogen pill worked for about 6 months, then my >periods came closer and closer again until the last one came 2 weeks >before the sugar pills. Now I am on Nuvaring (have had it in less than >a month). > >I asked him at the last appt if there could be something in there >causing the irregular bleeding and he said it's just my age. I have a >friend who works in a women's clinic (we are both RN's, I work in OB) >who says that he should at the LEAST do an ultrasound to make sure that >there isn't something causing this before he tries me on a fourth thing >should the Nuvaring not work. If he refuses, should I seek a second >opinion from another gyne in town?

-- D. Ashley Hill, MD Division Director, Dept. of Obstetrics and Gynecology Florida Hospital Orlando Medical Director Loch Haven Ob/Gyn Group 235 East Princeton Street, #200 Orlando, Florida 32804 http://www.lochhavenobgyn.com

Please understand that due to time constraints I am unable to answer any personal emails, therefore they will receive no response.

These comments are general educational comments and should not be construed as specific medical advice. The best person to answer your health care questions is your physician or other health care provider. Thank you very much.

Next message: Ana: "CONTRACEPTION: Changing the date of period"
Previous message: D. Ashley Hill, M.D.: "Re: GYNECOLOGIC: Vaginal gas"
In reply to: Lori: "MENORRHAGIA: Diagnostic tests"

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