Re: DeproProvera - Question about Dr Hill's Answer
From: Jamie (anonymous@obgyn.net)
Thu, 9 Jul 1998 06:01:46 -0500 (CDT)
I have a question about Dr. Hill's response. I had
one shot of Depo and was due for my next
shot June 13th. I decided not to continue because
I was experiencing some of the documented side
effects and didn't care for it.
About a week after my shot was due I started
spotting and having been bleeding rather
heavily for at least 10 days. It is "thinner"
than my normal period blood.
I hadn't thought about it very much as I know
irregular bleeding is typical with Depo.
You said the woman who had been bleeding for
93 days should seek medical consultation.
How long is typical for bleeding and when
should I be concerned enough to seek
medical attention? A rough estimate would
help me out.
Thanks!
--
Jamie
At Thu, 2 Jul 1998, anonymous@obgyn.net wrote:
>
>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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