WOMENS-HEALTH Messages for December, 1997: Re: anemia and menorrhagia

Re: anemia and menorrhagia

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 20 Dec 1997 16:40:47 -0600 (CST)

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In reply to: Pam: "anemia and menorrhagia"

At Fri, 19 Dec 1997, Pam wrote: >
>I've been diagnosed with menorrhagia. Between a vaspal aspiration, D&C,
>two hysteroscopies, a pap smear, various ultrasounds, and blood work, no
>cause of menorrhagia has been found. Months of provera, and then
>provera combined with estrogen, did not solve the problem. Cancer,
>endometriosis, fibroids, polyps, and thyroid problems have been ruled
>out. My doctor has suggested Depoprovera, which I am quite concerned
>about taking. I want to have a child, but had been told within the last
>six weeks by two ob-gyn's that my time is running out, that should I
>want to become pregnant, I should do so soon. Since this past menstrual
>cycle has resulted in very low blood levels (8.8 hemoglobin?), and I
>have been very weak, headachy, fatigued, etc., my doctor has recommended
>I try to become pregnant asap. He says I cannot afford to go through
>this (blood loss) again. Should I not become pregnant during this
>coming ovulation, and next month, have another excessive period, I am
>quite sure he will recommend Depoprovera or uterine ablation. Are there
>other treatments or causes, I may be able to consider, or rule out,
>before I am faced with losing my ability to conceive a child?

If you are becoming anemic (and you are) this is potentially very serious. If unable to control the bleeding hormonally (with no hormonal or physical causes found), it sounds like your doctor has done everything possible so far and has made appropriate recommendations according to the literature at present.

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

*Note: Opinions expressed here are for educational purposes only. This information is not intended to supplant the need for you to consult your physician prior to choosing or planning therapeutic options and/or interventions.

**Private emails cannot be answered.

**Thank you.

Next message: Harvey S. Marchbein, M.D.: "Re: C-Section timing?"
Previous message: Harvey S. Marchbein, M.D.: "Re: new pill user unusual bleeding?"
In reply to: Pam: "anemia and menorrhagia"

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