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

Re: abnormal bleeding in menopause

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 11 Nov 1997 21:52:12 -0600 (CST)

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In reply to: pat: "abnormal bleeding in menopause"

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.

A vaginal sonogram can be done to evaluate the lining of the uterus. In addition, a D&C can be done under local anesthesia to dilate the cervix and have a hysteroscopy prior to the D&C ato determine if a directed biopsy is necessary. A hysterectomy is not yet indicated.

--
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/advisors/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.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.
**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: current miscarriage and infertility"
Previous message: Terri: "Follow-up questions on Postpartum Hemorrhage/Dr. Siegel"
In reply to: pat: "abnormal bleeding in menopause"

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