WOMENS-HEALTH Messages for July, 1997: Re: . Abnormal Bleeding

Re: . Abnormal Bleeding

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 16 Jul 1997 20:47:44 -0500 (CDT)

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In reply to: Elizabeth: "Re. Abnormal Bleeding"

At Wed, 16 Jul 1997, Elizabeth wrote: >
>In regards to my post of 14 July Dr. Marchbein asked about the
>pathology report from my D & C - it was fine, no problems. There were
>no fibroids, I saw the pictures - very smooth uterus. I am trying to
>get some understanding of what would be causing this much bleeding on a
>continuous basis what options there are for stopping it. I have been on
>the pill for several days into this cycle now and am actually only
>seeing very light spotting, but it did that last month and then went
>back to heavier bleeding until I stopped the pills for my period and was
>then extremely heavy . I am not sure what to ask my gyn.
>
>Thanks for any help or advice,
>Betty Scheid

Betty, Hi. At 45 y/o with this sort of bleeding, a normal pathology report on the D&Cand a normal appearing uterus, the choices are 1)do nothing if the bleeding is not severe enough to become anemic; 2)continue oral contraceptives and wait for amelioration of the bleeding; 3)use progesterone orally in the second half of the month to support the lining of the uterus; 4)next to last resort... endometrial ablation if all else fails and problems ensue; 5)last resort (extremely unlikely with your history).... the H word.

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/heroes/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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In reply to: Elizabeth: "Re. Abnormal Bleeding"

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