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Re: DeproProvera

From: anonymous@obgyn.net
Thu, 2 Jul 1998 08:33:58 -0500 (CDT)


At Wed, 1 Jul 1998, Teresa wrote: >
>I was e-mailed by a woman who has been menstruating for 93 days after
>discontinuing the use of Depro Provera.

Teresa-

Although this is almost certainly a harmless (but bothersome) problem, it is possible that it represents something more serious. Thus, she should see a doctor or other health care provider in the UK experienced in women's health issues.

The most likely cause of this is an endometrial (uterine) lining that has become too thin from the progesterone found in the Depo-Provera. This leads to a denuded lining, which becomes irritated and constantly bleeds. Treatement is simply giving estrogen for about 10 days, which "beefs up" the lining. This almost always stops the bleeding. I'll bet the lady is thin, as thin ladies have less estrogen than heavy ladies (fat cells produce certain types of estrogen). I see this problem more in thinner patients.

Other causes may include pregnancy, cervical inflammation, being menopausal, and even cervical cancer. Therefore, she should get this checked out with a health care provider in the UK.

Thanks,

--
Ashley Hill
David Ashley Hill, M.D.
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, Florida

The above information is provided for medical education only, and is not intended as specific medical advice. I am sorry, but due to time constraints, I am unable to answer personal e-mail.




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