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Re: Abnormal Uterine Bleeding

From: Dr (anonymous@obgyn.net)
Wed, 19 Nov 1997 17:35:21 -0600 (CST)


At Wed, 19 Nov 1997, Zan wrote: >
>I've been experiencing AUB for a few years now, it started after I had a
>c-section and tubal ligation during the birth of my second child. Each
>month the bleeding, pain, and clotting increase. Last month I bled very
>heavily for 20 days. I finally gave in and went to a doctor yesterday.
>She did a pap smear because I had an abnormal one last year and had
>cryosurgery done to remove the cervical displaysia. I've been on
>progesterone cream (and suppositories) for one year with no results. She
>prescribed provera pills as an effort to get the bleeding under control.
>During the pelvic exam she "felt something" in my uterus. I am having a
>pelvic ultrasound on Nov 26 to see what's in there. She also said to be
>prepared for an endometrial biopsy in the near future. She seems
>honestly interested in finding and solving this problem which is a
>relief from my last doctor.
>My mother had uterine fibroids when she was my age (26) and had a
>hysterectomy at 28. Are uterine fibroids hereditary?
>Also I am a little afraid of cancer because I had a colposcopy and
>cryosurgery last year for what the doctor called "pre-cancerous" cells
>found on my cervix. I'm wondering what are the chances that all the
>cells weren't removed and have developed into cancer and would that
>cause my bleeding and pain problems?
>
>And if the doctor can't find a cause of the bleeding and pain, am I
>doomed to live like this forever? Do I have options?
>
--
1.  The cause of these abnormal bleedings can be found with ultrasound
&/or hysteroscopy.  If drugs are uneffective there must be an anatomical
cause which may need an operation.
2.  The cervix is easily controlled with smears, and pre-cancerous
lesions are easily cure with local treatments.  Don't be afraid.

--
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.






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