WOMENS-HEALTH Messages for November, 1997: Re: abnormal bleeding in menopause

Re: abnormal bleeding in menopause

From: Dr (anonymous@obgyn.net)
Tue, 11 Nov 1997 15:32:48 -0600 (CST)

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At Tue, 11 Nov 1997, pat wrote: >
>I am 48; no children; have been in menopause 2 yrs. Have taken
>estratest without progestin for over 1 yr - except for trying provera,
>cycrin, aygestin several times. Each of those caused nausea and
>cramping so i quit them. I have had continued bleeding for several
>months - stopping for a few days at a time. Regular Dr suggests
>hysterectomy - 2nd opin Dr wants D&C and biopsy instead. Problem is
>cervical stenosis and extreme pain. Would have to be done in hospital.
>Have also heard that D&C is not best alternative. I understand need for
>biopsy however I wonder if anything else can be done.

Unopposed hormonal replacement therapy (means estrogen without progestin) may cause bleeding, and after a long time may favour cancer. Endometrial cancer is now, after only 2 years, highly improbable. Biopsy is then not a must if you undergo a hysterectomy. If not yoy will have to have a D&C and a progestin treatment added to estratest if you want to keep your uterus.

In my opinion hormonal replacement therapy is much simplier without the uterus and avoids the risk of further endometrial cancer.

-- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of an examination.

Next message: Dr: "Re: Odd cycles five months after stopping BCPs"
Previous message: Jane: "CYST OR TUMOR ?"
In reply to: pat: "abnormal bleeding in menopause"
Next in thread: Harvey S. Marchbein, M.D.: "Re: abnormal bleeding in menopause"

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