Progestin therapy
Posted , 5 users are following.
I am 63 and have been given oral progestin to thin my uterine lining. Since March, I have had three moderate periods which I expect should happen since that is what the hormone is supposed to do, but it freaks me out. I usually spot for a full week and then bleed for another full week. First two periods came a month apart. This third one came about six to eight weeks later. Shouldn't the bleeds be stopping soon? I am not understanding this process very well. Please, are there ladies out there who have gone through the same thing? I have had a clear biopsy....shows proliferative cells. Ultrasound showed some thickening.
1 like, 13 replies
Sochima822 debbie73263
Posted
Hi Debbie, Progestin works to stop bleeding and to make thin the uterus. I would think that as your uterus shrinks it's going to shed causing a period. However, if you're still bleeding since March, have you gone to see your doctor for this or called and ask if this is normal?
jacky02866 debbie73263
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debbie73263
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I did call the doctor yesterday. She doesn't believe I should still have a bleed at this point....
debbie73263
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She doesn't believe I should have a bleed at this point......wants to do a hysterocopy and d and c. It has me freaked out! She mentioned looking for a polyp but wouldn't that shed with the lining? I don't understand. My biopsy was clear, but I don't know what to think about this.
looloo43 debbie73263
Posted
Hi Debbie. Please try not to worry. with any prolonged irregular bleeding, the doctor should do either a transvaginal ultrasound or hysteroscopy - its normal procedure. the hysteroscopy would be the "gold standard" of investigation. d&c i think would be to scrape the womb lining away & probably to take biopsies too. i have had both procedures in the past for irreg bleeding. hysteroscopy revealed a small cyst on uterus. later transvaginal ultrasound cyst could not be seen so it was assumed it had disappeard. apparently cysts in & around uterus are common & can come & go. biopsies were also normal. i am due to have another tv ultrasound in october as the only tthing they still found despite normal biopsies was thicker than normal womb lining (not hugely thicker) & to see current state following 6 mths of hrt. hope this helps to re-assure you a bit Deb. Your doc is just doing what she should be doing. xx
Sochima822 debbie73263
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Deb, a polyp is a soft overgrowth of cells, so no it would not shed. I had a D &C done for bleeding and that cure it. The science is pretty simple, if there's a polyp, you get a D & C, which is a scraping of the lining of the uterus expecting to remove the polyp. The more you know the better you can understand what to expect. The D &C doesn't hurt and it's a procedure done quite often.
jacky02866 debbie73263
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She only saw the polyps during the hysterocopy.... which can cause bleeding so maybe you have some too.
debbie73263
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jacky02866 debbie73263
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looloo43 debbie73263
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debbie73263
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debbie73263
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jacky02866 debbie73263
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