WOMENS-HEALTH Messages for August, 1999: Re: Pregnancy, Cervical Cancer, Cervical Tear, Excessive Bleeding....

Re: Pregnancy, Cervical Cancer, Cervical Tear, Excessive Bleeding....

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sun, 29 Aug 1999 23:45:46 -0500 (CDT)

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Reply: jillw: "Re: Pregnancy, Cervical Cancer, Cervical Tear, Excessive Bleeding...."

At Sun, 29 Aug 1999, jillw wrote: >
>--------------------------------------------------------------------------------
>I'm a 30 yr old mother of 4--ages 7 yrs, 5 yrs, 4 yrs, 2 1/2 yrs--all
>--------------------------------------------------------------------------------
>are about 15-17 months apart. Before I had children I had Cervical
>--------------------------------------------------------------------------------
>Cancer. Had a Laser Cone Biopsy done and 2 wks later got pregnant.
>Needless to say, my cervix never healed properly. All of my children
>came about 1 month early, but thankfully were healthy. When I got
>pregnant with my 3rd child, I spotted at first then passed clots early
>on in the pregnancy. After that, I would just spot all the time, but
>she was born healthy. When I had my 4th child, he came so fast my
>cervix didn't have time to dialate fully, my cervix tore--with much
>pain!! After giving birth I had TERRIBLE cramping, and TERRIBLE pain in
>my cervical area. I bled longer than usual afterwards and cramped even
>longer. Since then, my periods are very heavy and I pass clots
>(quarter-egg size) at least for the first 4-7 days. My total period
>lasts 9-12 days. The doctor has tried estrogen to "fake" menopaus,
>didn't work. Of course tried "the pill", didn't help. Doctor did DNC,
>was o.k for 2 months, now back to the same old thing. I have much pain
>with intercourse, much cramping with periods for 4-7 days. Everytime we
>have intercourse I bleed for 2-4 days after, as if another period. This
>is very frustrating and need some expert advice! Please!! I'm sick of
>the doctors looking at me as though I'm a nut. Thanx....Jill

I for one would want to thoroughly evaluate your cervix (Pap smear, maybe a colposcopy) to make sure there are no abnormal cervical cells contributing to this bleeding. This is especially important given your history. Also, i would do an ultrasound to look for fibrois, adenomyosis or polyps, all of which could lead to such a bleeding pattern. I'd check blood clotting studies and thyroid function too.

--
M. Kelly Shanahan, MD, FACOG
S Lake Tahoe, CA
Replies are for educational purposes only and do not construe a doctor-patient relationship. They do not take the place of a face-to-face consultaion with your own doctor.
***private e-mails will not be answered due to the fact I have a baby I'd like to spend some time with!!*****

Next message: Egija: "Ovulation & premenopausal symptoms"
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