
Ask A Question - Help - Register - Login

having serve cramping, heaving bleeding, increased ...

Sent to Health Experts September 19, 2007 10:11 p.m.

having serve cramping, heaving bleeding, increased tiredness during menstral cycle. Had CBC and TSH which was normal and abdominal ultrasound that was normal.Endometrial 2 mm, Ovarian volume right 5.1 and left 9.1. I want a hysterectomy but MD 1st ordered birthcontrol pills. I'm 40 and smoke. During my visit he said that I did not need to take birthcontrol pills. I questioned the nurse when she called me. MD then ordered Provera or a Lap procedure. I was told this is up to me by the nurse and this was all MD could do for me. Menstral cycle is so severe at time I feel and can barely get out of bed. I don't trust this MD. Should I take the Provera?

Optional Information:
Female, Age: 40, Mississippi

Already Tried:
visit to MD

Customer (name blocked for privacy)

Status: Closed Value: $15

Info Request
September 19, 2007 10:42 p.m. (30 minutes and 10 seconds later)

Hi,
Since you are online, could you please give some more information:

Since how long have you been having this bleeding?

Are you perimenopausal?

I am available online to help you further after I get this info.

Dr. D. Evans -- Doctor (MD) -- 99% Positive Feedback on 4427 Health Accepts
MS in ENT and Head and Neck Surgery , Attachment to Neurosurgery.

Reply
Sent September 19, 2007 10:59 p.m. (16 minutes and 57 seconds later)

No not perimenopausal.I noticed menstral cycle heavy after I had my tubes tied 6 years ago. The bleeding and cramping have been increasing getting worse over the past year

Customer (name blocked for privacy)

Answer
September 19, 2007 11:06 p.m. (7 minutes and 8 seconds later)

ACCEPTED

Hi,

Menorrhagia is usually treated step by step.

The first step is with medications. Here, the medicines used are NSAIDS, OCP's and Progesterone, like Provera.

In the second step, conservative surgical procedures like Endometrial ablation are done.

In the third step, Hysterectomy is done.

So it would not be advisable for you to think of a hysterectomy directly. You should try first with the Provera. If your bleeding is die to some hormonal abnormality, this might correct your bleeding. If this does not work, then you should consider the option of an endometrial ablation. If bleeding continues, then you need to go for hysterectomy.

So go ahead with the medicines first. This is the first step.

You can look up here:
http://www.mayoclinic.com/health/menorrhagia/DS00394/DSECTION=8

I hope this answer was helpful. If you need more information, feel free to ask. For accepting this answer, please click on the green 'accept' button below. Feedback/Bonus will be warmly appreciated.

Dr. D. Evans -- Doctor (MD) -- 99% Positive Feedback on 4427 Health Accepts
MS in ENT and Head and Neck Surgery , Attachment to Neurosurgery.

Reply
Sent September 19, 2007 11:19 p.m. (13 minutes and 24 seconds later)

Thanks so much for this quick response. I felt that the Provera was okay. Will the Provera help with cramping? If this works I'm willing to take the medication but this MD will never touch me again. Is it normal to have a yearly checkup with the OBGYN and not have a urinalysis/lab?

Customer (name blocked for privacy)

Answer
September 19, 2007 11:32 p.m. (12 minutes and 35 seconds later)

THIS ANSWER IS LOCKED!
You can view this answer by clicking here to Register or Login and paying $3.

Dr. D. Evans -- Doctor (MD) -- 99% Positive Feedback on 4427 Health Accepts
MS in ENT and Head and Neck Surgery , Attachment to Neurosurgery.

Think you can answer this question?
Login or Become an Expert

Related Answers:

	DISCLAIMER: You acknowledge that any information you may obtain from individuals you contact through use of the Just Answer service comes from those individuals, not from Just Answer!, and that Just Answer is not in any way responsible for any of the information these third parties may supply. The site and services are provided "as is" with no warranty and no representations are made regarding the qualification of an Expert. Responses and comments on Just Answer! are for general information and are not intended to substitute for informed professional advice (such as medical, legal, investment or accounting) and do not establish a professional-client relationship. Just Answer! is not intended or designed to address EMERGENCY QUESTIONS which should be directed immediately by telephone or in-person to qualified professionals. Please carefully read the Terms of Service.

Just Answer! > Online Health Advice > Medicine Questions