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Gynecology (Expert Forum)
Worried about Ovarian Cancer...
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
Worried about Ovarian Cancer...
by rnyc, Nov 30, 2007 09:48AM
I am 42 yrs old, I always had regular periods, 5-7 days, every 28 days. The two times I didn't get my periods are named Lucca and Gabriela, my kids. So, this past month I got my period on nov. 10th and it never ended, it is very heavy with lots of clots. My doc collected some material for a biopsy and recommended a intra-vaginal sonnogram, as I wait for the results she put me on Prometrium 200mg, 1 per day at bedtime. I'm feeling very nervous, anxious, paranoid and thinking about ovarian cancer, with some cramping and still bleeding very much. Any thoughts, anyone?
Doctor's Answer
by Keith Downing, MD, Dec 03, 2007 02:46PM
, Dec 03, 2007 02:46PM
Hello,
Our concern when a woman your age has irregular bleeding would be endometrial cancer, not ovarian cancer (which is why your physician performed the endometrial biopsy).
The proper work up for irregular bleeding in a woman over 35 would include ruling out pregnancy, checking for an endocrine abnormality (e.g., thyroid hormone changes), assessing for structural lesions within the uterus (like endometrial polyps/fibroids usually by office hysteroscopy--i.e., looking inside the uterus with a small camera--or sonohysterogram--instilling saline into the uterus while simultaneously having a ultrasound), considering anovulation (not ovulating monthly reflective of perimenopause) and performing an endometrial biopsy to look for abnormal tissue inside the uterus (e.g., endometrial hyperplasia or cancer). With those results proper treatment can be instituted.
Best regards,
Dr. Downing
Our concern when a woman your age has irregular bleeding would be endometrial cancer, not ovarian cancer (which is why your physician performed the endometrial biopsy).
The proper work up for irregular bleeding in a woman over 35 would include ruling out pregnancy, checking for an endocrine abnormality (e.g., thyroid hormone changes), assessing for structural lesions within the uterus (like endometrial polyps/fibroids usually by office hysteroscopy--i.e., looking inside the uterus with a small camera--or sonohysterogram--instilling saline into the uterus while simultaneously having a ultrasound), considering anovulation (not ovulating monthly reflective of perimenopause) and performing an endometrial biopsy to look for abnormal tissue inside the uterus (e.g., endometrial hyperplasia or cancer). With those results proper treatment can be instituted.
Best regards,
Dr. Downing
Member Comments (3)
by rnyc, Nov 30, 2007 01:47PM
To: Dr. Downing
I am 42 yrs old, I always had regular periods, 5-7 days, every 28 days. The two times I didn't get my periods are named Lucca and Gabriela, my kids. So, this past month I got my period on nov. 10th and it never ended, it is very heavy with lots of clots. My doc collected some material for a biopsy and recommended a intra-vaginal sonnogram, as I wait for the results she put me on Prometrium 200mg, 1 per day at bedtime. I'm feeling very nervous, anxious, paranoid and thinking about ovarian cancer, with some cramping and still bleeding very much. Any thoughts, anyone?
by Sofea, Jan 05, 2008 12:18PM
To: myc
I feel so bad when we always get the worse definition of spotting, at your age its probably perimenopause. Read about it.
