WOMENS-HEALTH Messages for October, 2008: Re: GYNECOLOGIC: Amenorrhea following D&C

Re: GYNECOLOGIC: Amenorrhea following D&C

From: T. Lyons, MD (anonymous@obgyn.net)
Thu, 9 Oct 2008 15:56:14 -0500 (CDT)

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In reply to: Amy: "GYNECOLOGIC: Amenorrhea following D&C"

Message posted on T. Lyons, MD behalf by: Hope Waltman, Fibroid and Women’s Health Forum Moderator

This is far too complex an issue to speculate on over a blog. Get with your doc or get another doc and work through this. Sounds funny (strange) to me.

--
T. Lyons, MD
ATLANTA, GA, Sightline of Atlanta

http://www.thomasllyons.com
http://www.endocenters.net

Note: Opinions expressed here are for educational purposes
       only and, as such, do not constitute a physician-patient
       relationship.  This information is not intended to supplant
       the need for you to consult with your physician prior to
       choosing therapeutic options and/or interventions.
 ** Private emails cannot be entertained due to time
       constraints; consequently, they will receive no response.

At Mon,  6 Oct 2008, Amy wrote:
>
>I am 27 years old with one child.  My husband (same father) and I have
>been trying to conceive for one year (had Mirena removed exactly one
>year ago this month).  Since then I have had 4 chemical pregnancies and
>one missed miscarriage (slow heartbeat detected at 6 weeks, empty sac at
>8 weeks).  D&C performed at 9 weeks (June 10) after cytotec failed to
>induce miscarriage.  Accidentally kleihauer betke was performed prior to
>D&C (not sure why this was done as I am Rh positive) but result was 0.9%
>
>Since D&C, have not had any bleeding (now going on 4 months) although I
>have felt I am ovulating and am having menstrual cramping for 2 days
>each month.  Because of this, my physician ordered hormone testing,
>which I had done approx 5 days after ovulation results are:
>Progesterone : 5.7
>LH: 8.6
>FSH: 5.8
>Prolactin: 9.9
>HCG: <1
>KB: 0.9% (re-drawn strictly for curiosity)
>Antibody screen: negative
>Thrombophilia panel appears normal (not all tests have been completed)
>HSG done in April (prior to D&C) normal.
>
>Just hoping someone can give me another opinion on what would be the
>next step of testing at this point specifically regarding the
>amenorrhea? Progesterone withdrawl? Estrogen/progesterone challenge? Any
>any ideas on why I would have an elevated KB???
>
>Thank you!

Next message: T. Lyons, MD: "Re: MENORRHAGIA: Menstrual bleeding non stop since 2001"
Previous message: Dr. Herbert A. Goldfarb: "Re: OVARIANPAIN: Can an elevated CA-125 be related to Lupus?"
In reply to: Amy: "GYNECOLOGIC: Amenorrhea following D&C"

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