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Re: MENORRHAGIA: spotting for 10 days before period
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Fri, 24 Oct 2008 15:05:02 -0500 (CDT)
Amanda
You need a pelvic ultrasound. If they will not/can not do that, you
need at least an office endometrial biopsy or even a hysteroscopy with
D&C (operative procedure)...Dr. von Almen
At Fri, 24 Oct 2008, Amanda wrote:
>
>Hi there,
>
>I'm 27-years-old, and after several months of less-than-normal periods,
>I'm starting to get concerned.
>
>I'm an expat living in the Netherlands, and the health care system here
>is a bit different than what I'm used to in Canada. I'm not confident
>that the doctors I've seen are thorough enough in diagnosis or testing.
>So, although I'm seeing a doctor next week, I'm posting here as well to
>be as informed as I can.
>
>About 4 or 5 months ago, I started having dark brown to black spotting
>for anywhere from 5-10 days before my period. When I do get my period,
>I often have extremely heavy bleeding (ie, blood pouring out of me,
>super plus tampons hold for about 30 minutes) and huge blood clots. This
>doesn't happen every month, but it's happened 3 times in the last 8
>months. I haven't had my period come at the same time each month for 3
>years.
>
>I have Middle Schmertz as well, so that not only do I get my regular
>cramps on the first day that I actually start bleeding (red), but I also
>often have debilitating pin-point cramps in my right ovary about 6-8
>times per year when I ovulate.
>
>I am otherwise healthy, but I have been tested for ovarian cysts about
>10 years ago.
>
>I am not on birth control and do not want to go on it. My long-term
>partner and I use condoms.
>
>I've also had two abortions before I was 12 weeks along (both with my
>current partner)and I worry that I might have some sort of permanent
>damage that would prevent me from conceiving in the future.
>
>Like I said, I'm going to have my pap and a check-up soon, but the
>doctor is not the best one I've had and you don't really have much of a
>choice here when it comes to your GP.
>
>Any advice, comments or suggestions are welcome and very appreciated.
--
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.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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