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Re: MENORRHAGIA: tissue, watery discharge, no period, negative HPT
From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Sun, 20 Jul 2008 14:32:06 -0500 (CDT)
Dr.Futterweit: There is little I can add to the urinary work-up. Your
light bloody discharge is not unusual in a women with a range of wide
intervals between menses. Progesterone Rx is correct and I would add
also
the need for a careful ultrasound of the ovaries, and noting the lining
of the
endometrium.
Best wishes,
Dr.Futterweit
At Sun, 20 Jul 2008, deane wrote:
>
>I am a 30 year old female with PCOS and hypothyroidism. I have
>irregular cycles, ranging anywhere from 26 to 90 days. The average
>cycle is about six weeks. My last period started on 06/01/08. I am not
>on birth control pills and I had unprotected sex during the 7th and 8th
>day of my cycle and a condom failure two weeks ago. I have been
>intermittently passing pieces of white tissue when I urinate for about
>2-3 weeks. These range in size from tiny to three or four pieces that
>were as big as a quarter. I am being treated for a possible UTI
>(symptoms are urinary frequency and microscopic blood in my urine). I
>have been having mid-back pain as well and kidney stones were suspected,
>but ruled out after a normal CT scan. I have not had my period yet, but
>for the past 3 days I have had pink water discharge about 1-2 times a
>day on the toilet tissue after urinating. I am pretty sure this is
>vaginal, as I can hold the tissue up to that area and it will come away
>a little pink. I also have passed small pink and gray pieces of tissue
>for the past three days. I have no PMS symptoms (which is very unusual
>for me) other than a mild acne breakout. I took a home pregnancy test
>10 days ago and it was negative. Could I be pregnant? I think it's
>unlikely with the tissue, but I'm going to wait a couple more days and
>take another test if no period. If I'm not pregnant, is this normal or
>should I be concerned? Does anyone else have experience with this? I
>have such irregular periods and odd PMS symptoms, I never know what to
>expect. Because I have PCOS, my gyno had me take progesterone for 10
>days in March of this year to make sure my uterine lining was shed
>completely, but other than that, I've not taken any meds. Thanks.
--
Walter Futterweit, MD, FACP, FACE
Clinical Professor of Medicine, Division of Endocrinology
Mount Sinai School of Medicine, New York, NY 10029
http://www.aacehost.com/pages/page.php?r=716
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