WOMENS-HEALTH Messages for December, 1999: Re: After doctor visit... what is disorder proliferation phase endometrium?

Re: After doctor visit... what is disorder proliferation phase endometrium?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 2 Dec 1999 17:11:42 -0600 (CST)

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In reply to: Lucia: "After doctor visit... what is disorder proliferation phase endometrium?"

At Thu, 2 Dec 1999, Lucia wrote: >
>I've written before about having for the past three months (Sept., Oct.
>nov. ) irregularities in my periods. They've come with a brownish to
>pink
>coloration, little in amount, and long in duration. I am not certain if
>to
>even call them periods now, but just some sort of bleeding. Sept. and
>Oct. had
>the same periods. On Nov. 10 my doctor did an endometrium biopsy. THe
>result
>came out to be a "mildly disordered proliferation phase endometrium".
>The
>doctor said this means I am not ovulating, so he has put me on a birth
>control treatment for three months, starting on Dec. 5th. On Nov. 12
>I got
>what I thought was my period, but it was just again the same type of
>bleeding I've described above. The only difference on Nov. 28 I got a
>very
>heavy bleeding, which my doctor said to be breakthrough bleeding. I
>thought
>this was the period I was so anxious to get in the past months, and that
>I
>was self-regulating again, but apparently it wasn't. After talking to
>my
>doctor he suggested me that maybe I'll need ovulation induced medicine
>if I
>want to get pregnant in the future. I am very much preocupied about
>this
>because I'm only 27 and I'm getting married next year but was hoping to
>be
>able to wait sometime before trying to conceive. If I am very scare of
>the
>thought of being infertile. Would there be a way to find out what are my
>chances of being fertile?

The disorganized endometrium may be temporary. Chances of infertility due to this cannot be calculated at this time but if needed, medication can be very helpful.

>Last April I was diagnozed with a 3cm ovarian
>cyst, which I knew dissapeared after my period and verifying it through
>a
>sonogram. The sonogram reflected several small cysts in both of my
>ovaries.
>The report suggested that I may have polycystic ovary disease, but my
>doctor
>said I didn't, and asked me to measure my temperature to confirm it. I
>did
>the measurments, and the temparature changed for about half degree when
>I
>thought I was ovulating, so I thought I didn't have to worry. However
>after
>this current experience with my periods, I'm not sure if I was actually
>ovulating after the cyst episode occurred. I'm very concerned I may
>have
>PCOS and that it's reflecting on this weird bleeding disorder I'm
>having.
>What would you recommend me or suggest me doing?

Getting some blood tests including FSH, LH, Prolactin and thyroid function tests would be helpful in the diagnosis.

>I will do the BCP
>treatment, and pray I get back to normal. But how about if I don't? I
>very
>much want to have kids in the future, but I don't know if I'll be able
>to.
>WOuld there be a way to determine how well are my hormone levels doing?

Answered above.

>Would it be recommendable I see an endocrinologist to determine my
>hormone
>behavior?

Se what the blood tests show first.

>I greatly appreciate any advise.
>
>Lucila

--
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 ;-)

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In reply to: Lucia: "After doctor visit... what is disorder proliferation phase endometrium?"

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