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To Dr. Marchbein
From: Anita (anonymous@obgyn.net)
Thu, 16 Sep 1999 12:35:45 -0500 (CDT)
Thank you, Dr. Marchbein. I should have mentioned that the FIRST thing
I did was go to my regular GP and had blood tests. Everything came back
normal, blood count, liver functon, kidney function, thyroid, etc.
That's why he suggested it might be hormonal and I went to gyn. I guess
my next step will be the gastroenterologist. It's just that I read a
lot about ovarian cancer (have 3 friends diagnosed with it!)and felt
very scared that these symptoms might be from OvCA. Any comments would
be appreciated. Thank you, again.
------------
At Tue, 14 Sep 1999, Harvey S. Marchbein, M.D. wrote: >
>At Tue, 14 Sep 1999, Anita wrote:
>>
>>I am having many problems over the last year and a half. Doc says it's
>>menopaus, but now I'm not sure. Last few weeks having nausea, extreme
>>fatigue, bleeding between period, and intestinal problems
>>(diarrhea/constipation).
>
>Let's take one at a time. Nausea and extreme fatigue may be may be
>related to menopause but gastrointestinal causes should not be ignored.
>How about a blood count to rule out anemia and thyroid function tests
>too? The GI complaints don't sound like common menopausal symptoms to me
>but what do I know?
>
>>Also feeling very depressed and anxious.
>
>Same blood tests. While you're at it, get blood chemistries too.
>>Have
>>just been to gyn and I have a fibroid which I never had before. He sent
>>me for ultra sound and it showed small fibroid at top of my uterus. He
>>said it was no cause for concern.
>
>Small fibroid, no big deal.
>
>>Given all my symptoms, should I get a
>>second opinion? I'm afraid it may be cancer. Can an ultra sound
>>determine a benign fibroid from cancer? Thank you.
>
>Fibroids are rarely cancerous. Actually the rate is 0.27% (about 1 in
>400). A new fibroid is a pretty safe bet on benign but if you have
>cancerphobia about this, a $1000 MRI will help give you a probable
>guarantee.
>
>Get thee to the internist to get a genenral checkup and complete blood
>workup before you resign yourself to "menopause".
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
--
Anita
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