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Recent ob gyn questions

How will I bleed after a uterine ablation if I am on

How long will I bleed after a uterine ablation if I am on warfarin? Will that prolong the healing? I know it prolongs a scrape on my arm even!

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I'm 37 years old. Tubes have been tied years.

Hello. I'm 37 years old. Tubes have been tied for 6 years. Was told I couldn't be on birth control pills or hormonal therapy because of blood clotting condition (Lupus anticoagulant?)My OB and I have been discussing ways to help lesson the heaviness and length of my periods. He put me on Medroxyprogesterone 10mg tablets TWICE a day for 14 days starting on the 1st of the month. I started this regimen on March 1st. Since then, the complete opposite has been happening. Started 1st period on March 19 that lasted 12 days. Started period again on April 18th which only lasted 7 days (much better!). I was great for one week following and since then (April 30th), I've been bleeding all over again. I'm 3 days into my third month of the pills and I"m STILL bleeding/brown junk. I know they say it takes "time" for your body to get used to the pill etc. but this is down right FRUSTRATING! Could it be that the Rx is not enough for me? (I'm about 260 lbs) How do I get the bleeding to STOP!? Sex that isn't "baby-making sex" is GREAT but NOT when this is always happening!

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DocPhilMD

Internal Medicine Physician

Doctoral Degree

 
39,340 satisfied customers
I am a 50 yo female in good health, average weight and workout

I am a 50 yo female in good health, average weight and workout regularly. I have hx of graves disease, thyroid cancer (resulting in TT), thymus removal (hyperplasia), vitiligo and primary intestinal lymphangiectasia (in remission).I had a uterine ablation around 10 years ago due to heavy periods. Post ablation I have had no spotting or periods.Since @ September of 2015 I have had irregular spotting (brown and red blood). Never a lot and only over a few hours/day. I also just experienced spotting after sexual intercourse with my husband last week - again, just spotting and only after, not later in night.I had a normal pap last October. Some pain when my pcp did a pelvic last week.I saw a doctor yesterday who kept focusing on getting my "periods on a normal schedule"...he tested FSH (17.1) and Estradiol (92.3) - I did not think I was in menopause and I don't think the spotting was menstruation. I am more worried about uterine cancer.The doctor finally agreed to do an ultrasound next week after I turned down a hysterectomy (!) that would "stop the bleeding" and medication to get me on a "regular menstruation cycle". I told him I just want to be sure there is nothing amiss, I do not mind dealing with occasional spotting, as long as I know everything is OK.My question, is can a vaginal ultrasound detect cancer after having had an ablation? Some of the websites I have seen say it is difficult to detect post-ablation...Is there a different/better test to run for abnormal bleeding? What will the doctor be looking for on the ultrasound?Thank you.

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Dr. Norm S.

Doctoral Degree

 
11,592 satisfied customers
Having a GYN issue that started very suddenly 2 months ago.

Having a GYN issue that started very suddenly 2 months ago. After years of regular periods, my period stopped totally in November. I have never skipped before except for pregnancy. I started spitting December 8. It stopped twice for a week and started again. It hasn't stopped in a month. I have a history of at least one fibroid. Ultrasound showed thickening of the uterus so Dr took a uterine biopsy which came back thankfully as negative for cancer. Hormonal blood tests show I am not menopausal so I am guessing the fibroid is bleeding. This last week I have dropped many very large blood clots and the bleeding is very bad when I do. My GYN wants to do a D &C and a procedure called thermachoice ablation. Is this the best choice? Won't it just grow back in time?

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Dr. Norm S.

Doctoral Degree

 
11,592 satisfied customers
I had an endometrial ablation in May of 2015. My periods have

I had an endometrial ablation in May of 2015. My periods have gone from 7 days of heavy bleeding to about 5 days of heavy bleeding, and my cramps are significantly worse even taking 800mg ibuprofen q6-8h. These cramps last for about 3 days. What are my options at this point? I work as a nurse and working while on my period is miserable and near impossible. I am so frustrated.

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Dr. C.

Medical Director

Doctoral Degree

 
4,612 satisfied customers
I had endometrial ablation about three months ago. I had unprotected

I had endometrial ablation about three months ago. I had unprotected sex with someone who is still fertile and I'm wondering what are the odds that I could get pregnant? Should I take a Plan B? I'm wondering if I can even utilize the Plan B now Because doesn't it just increase the slipperiness of the lining so that the egg can't implant? If I don't have a lining Will it cause me to have a lining? I don't want to start having my period again. Please help

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Dr. Norm S.

Doctoral Degree

 
11,592 satisfied customers
I'm 38 years old, I have had my tubes tied since 2003. I have

I'm 38 years old, I have had my tubes tied since 2003. I have been bleeding constantly since September 2014. At the beginning of September 2014 I started losing weight fast. I lost 10 pounds in 2 weeks without trying at the same exact time my menstrual cycle started to go crazy. At first I thought maybe it was because I was a little stressed. But as time went on I knew it must have been more than that. I went to my local Ob back in January to see what was causing this. She gave me a pap, internal ultrasound and everything came back normal. She prescribed 10mg Medroxyprogesterone for 10 days to stop my bleeding, which worked, then gave me Minastrin 24 Fe birthcontrol to take for therapy. Everything seemed to be working until 1 full month after taking the birthcontrol I started to have serious neurological problems and was getting extremly sick. I stopped taking the pills, went to my general practiction, who ordered a line of blood tests for every disorder possible. He also sent me to several specialists to check for autoimmune disorders along with MRI, CT scans, etc. All my tests came out normal. No one could figure out what was wrong. I started to get better but began bleeding again without stopping. My general practition then order more bloodwork with hormone levels. Everything was normal except for my estrogen. My estrogen levels were at 776, but my other levels were normal. I went back to my ob on July 30th and explained to her what had happened along with all my records and blood test results and explained to her my situation, and also explained to her that only thing that made sense to me, was I might have a sensitivity to the hormones and it was causing problems with my central nervous system. I had asked her what other options I had besides this. She told me that she wanted to put me on 10mg Medroxyprogesterone for 21 days 7 days off for 3 months since the 10 day worked for me previous time. I was reluctant because of my bad experience and asked about the Paragard IUD. She told me that with my case, it most likely would not work and to try the Medroxyprogesterone. I started taking them the very next day, July 31st. Within 1 week my head felt strange, like I was in an altered universe (just like 1 of the symptoms I had with the birth control) along with other side effects. I called her office and the nurse told me to just stick it out and see what happens, as long as I stop bleeding I'll have to deal with side effects. I thought that it might be temporary side effects so I kept taking it. One week before I finished my 21 day cycle (last week), I started to get flu like symptoms along with severe nausea. I thought it was the flu, but no one else close around me got it. I still have these symptoms along with severe depression, lack of consentration and energy in which I've never had an issue with. I had my general practition call my ob and let her know all these issues that I'm having. The ob told him that the only alternative would be the IUD. This is after she told me that the IUD wouldn't work. Now she telling me that's all I have left. I don't trust this and I'm so afraid that this will cause issues as well. WTH? This is a nightmare. Can anyone help me?

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Dr Leah Benson

Doctor of Osteopathy

 
210 satisfied customers
Dr. C. I had mild dysplasia and positive hpv on my recent

Hi Dr. C. I had mild dysplasia and positive hpv on my recent pap. I have always had heavy 6 or 7 day periods 28 day cycles until the last year. They are now every 2 weeks with heavier bleeding. In March I didn't have a period at all for 40 days and finally went for my pap and then my period came and it has been the same , every two weeks like before. I have a colposcopy scheduled for 8/11 but I feel like my period will delay this again. My blood work showed only low D. I haven't had an ultra sound since I wanted to wait until after the colposcopy results. But I have had cysts regularly. Right now mid cycle I feel what seems to be pain and inflammation on the left and right sides of my abdomen. This is common for me. I took Ponstel which used to help but my prescription ran out and I've not used it for over a year. I would take it mid cycle before my period was due and it seemed to work like magic. I am 43, do you have any suggestions to what this may be?

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Dr. C.

Medical Director

Doctoral Degree

 
4,612 satisfied customers
I would like a second opinion situation I'm having,

Hello, I would like a second opinion for a situation I'm having, I'm 38 years old non smoker currently taking amethia lo birth control pills now for a month and a half, my gynecologist recommend this for heavy menstrual cramping due to a fibroid and polyp in my uterus. I've been menstrating now for 20 days, breast hurt and tender. Doc shared this is normal that my body needs to adjust to pills, also, I've had issues with having mild low iron levels. And due to that I've had hair loss and its thinning more and more. My doc said these pills don't cause hair loss, which it's hard to believe with all the reviews and side affects. Please share you opinion.

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Dr. C.

Medical Director

Doctoral Degree

 
4,612 satisfied customers
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