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

Re: Abnormal Bleeding - Still!

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 23 Jul 1997 21:10:12 -0500 (CDT)

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At Wed, 23 Jul 1997, Elizabeth wrote: >
>I have to thank Dr. Marchbien for the helpful response from the 16th
>(I've been out of the office since then and only was able to read it
>today)and ask a couple more questions.
>
>In regards to the choices you posted - 1) Do nothing if not anemic - I
>am not yet, but my gyn thinks I will become if I continue to have these
>very heavy periods combined with bleeding during the rest of my cycle.
>2) Conitnue oral contraceptives and wait for amelioration of the
>bleeding - I have been on them for several years now, and am bleeding
>more not less during each cycle. 3) use progesterone orally during 2nd
>half of month - maybe that would help, I will ask my gyn about it,
>because this month I started bleeding again on day 12 of my pills which
>is longer than I had gone the last 2 months when I only had 3 or 4 days
>with no bleeding. 4) What is endometrial ablation?? Sounds better than
>the H word!!
>
>Besides the excessive bleeding itself which is very worrisome since no
>body seems to know WHY this occurs, the inconvenience of never knowing
>when it will happen, never being able to go without tampons and pads on
>and plenty with me, and having the potential of great embarrassment at
>business meetings, etc., I am worried that this may mean something else
>is wrong like ovarian cancer - is this a possibility and how would one
>check?

Dear E.S. (may I call you E.S.?)

If every thing is hormonally normal, there is no explantion we know of (this presumes normal thyroid, normal coagulation parameters and otherwise in good health). 99.99% of the time, bleding from the uterus means one thing ..... bleeding from the uterus. Nothing else.

Nest topic .....how to check for ovarian cancer ........get a color doppler vaginal sonogram and a CA 125 (blood test). There are false positives in both of these tests and they are not perfect.

E.S. ..........good luck!

-- 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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