Gynecology / Women's Health Expert Forum
Passing (3x2 inch) sheets of tissue during menstration (NOT clots!!!).
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Passing (3x2 inch) sheets of tissue during menstration (NOT clots!!!).

Summary: 34 yr old, first period at age 10, HPV+ w/ history of extensive laser surgery, and cervical freeze in
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Hello,

Sounds like you are experiencing menorrhagia (heavy menses) and dysmenorrhea (pain with menses).  If you are passing tissue, bring it to your physician who should have it sent to pathology for examination and identification/description.  That should clarify things.   That said, a sampling or biopsy of the endometrium (inner lining of the uterus) is probably a good idea given your age and symptoms, to look for abnormal tissue.

In the event of a normal biopsy some treatment options for menorrhagia/dysmenorrhea include the following:

Hormonal approaches- for example, combined hormonal contraception such as the pill, patch or nuvaring; depot provera (a q 3 month injection); the Mirena IUD; or Lupron (a monthly or q 3 month injection that makes a woman menopausal) given with add back hormone (for example norethindrone) for bone protection and relief of menopausal symptoms

Minor surgical approaches- such as endometrial ablation

Major surgery- that is, a hysterectomy  

You should discuss these options with a gynecologist you like and trust.  You should have all of these issues addressed at your next gyn visit.

Best of luck,

Dr. Downing
4 Comments
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Additional Info:  The iron level is usually between 9 and 10, dropping during menstrual periods.  The tissue passage has been accompanying the heavy periods since 06/06. In answer to the most common questions: No, I am not miscarrying on a monthly basis.  No, I am not causing or have reason to suspect trauma to my vaginal walls which causes sleeves of flesh to fall off.  Yes, I had an (internal and external) ultrasound performed by a local VA hospital three weeks ago (still no results).  MRI or CT scans have not been performed.  Yes, I get PAP smears done annually (last one 04/07).  Yes, there were unexplainable complications during the last pregnancy (partial seizure-like episodes) that numerous tests could not explain.
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I have been using the NuvaRing for the last 3 months in 4 week increments like my doctor suggested so that I don't have to have a period.  Just 1 month ago, I had a pap and then a biopsy and was scheduled for the LEAP procedure.  I am getting a 2nd pap done on August 6th for a second opinion.  Anyway, just a few days ago, I was jogging around the park and felt wet down there.  So I stopped and went home.  The wetness that I had felt had been blood.  Well, a few minutes later I noticed a feeling of something falling out of my vagina.  I looked and it was exactly the tissue that you had discribed.  There were 2 pieces of tissue that were almost like the fat that you had just cut off of your meat with blue vein like things in it.  I know it sounds disgusting, but I examined it too streching it and things.  It wasn't bloody itself either.  I have just never seen anything like this before. I don't know if this has anything to do with the cervix since my OB  said that he found cancerous tissue on my cervix.  
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I had the same thing happen! I've asked so many doctors, friends, and no one knows!  Mine was following an attempted enodmetrial biopsy. It went on for 3 days.  Big clupms of grayish tissue. Absolutely scary and disgusting.

Hasn't happened since.  I did recently find out I have CIN I, mild dysplasia of the cervix.
I also have ovarian cyst and uterine mass thought to be a polyp.
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