Thanks for the response.
Yes, she was helpful and so was the Old ObGYN He sort of told me the same thing that the first one did ...but in a much more slow and patient way. Seemed to understand that sometimes when we hear the C word, our minds shut down and we don't hear the rest.
I am, bleeding so heavy the past 4 days now that either my Uterus is going to be much thinnner ...or.. I am having something pretty bad going on now. I am, sort of wishing I would have just gotten the biopsy over w/but since My Sis who is 4 years older than me is scheduled on Tuesday with her MD to get this same biopsy. I sort of want to wait and see how she felt it was. I guess having to wait has it's perks. Other than the fact that I am, going to have to take out stock in ALWAYS Products from my mass consumption! ha ha. May require a transfusion too. Wonder how long a person can keep doing this before they need a transfusion?
I'm thinking about writing the company who makes Always and asking them to create a line for Perimenopause women... you know the type that come up to the top of your groin and run all the way up to the top of your buttocks! I keep having "issues" and I am, frankly tired of changing panties and sheets! Not all of us fit the one size fits all scenario in pads. Now days they are making them thinner, and thinner, narrower and narrower.
As if we were all tiny Asian women who are barely flowing! grrrr.
Hi. Ireneo is very helpful, and I think you are on the right road here, with the 2nd doctor.
Maybe, if they see something in the ultrasound, you can also visit with a gyn/onc., especially if they are going to do surgery.
My best wishes for you, please keep up the questions until you are satisfied. Don't they say the best patient is an informed patient? Stand up for yourself--you're the only one who will, and you are responsible for the well-being of your body.
God Bless,
Morrowville
This board is so active that msgs get pushed to the next page before I realize it. Sorry I'm slow to see your question.
A TVUS is a trans-vaginal ultrasound. You're probably familiar with a regular utlrasound where they put cold jelly on the belly and slide the thing around to see inside. The TVUS is like a wand that's inserted into the vagina and images are seen from that angle. Pretty embarrassing but very effective. I'm not sure they would do it during active bleeding. It's usually scheduled a couple weeks out.<<<
Oh that's okay I understand I just now got notification that you posted and it's nearly 1 am. I woke up it's so hot here ( or is it just me? lol) I had to get up and take a shower.
I also have been having a flood (if you know what I mean) so I felt like I needed to rinse. Now I am, awake again, so I thought I'd see what my mailbox looked like and while I was reading mail your post notification just popped up. What I find odd is ...that this board shows you posted at 4pm and even though we could be up to 3 hours different IF your in the US. Why did it take so long to notify? So, don't feel bad, I dont think there was any chance you could have responded before my Gyno appointment anyway.
He saw my notes and said we can do a TVUS. and a FSH and he said the other tests you mentioned were not needed. (who knows why) So May 1 I go for the US and then he said I will probably have to be scheduled for a biopsy But we will sit down and discuss the test results first. He feels it will be needed because there is no way to know if I have an Aplastic or an Atypical lining or one with Cancer. He feels it's doubtful it's cancer yet. But he explained how the cells build up from all the unbound Estrogen. Although with the bleeding I did today and the past 3, I'd think I sloughed off alot.
His pelvic in the office didn't lead him to think I had anything he could feel. So it really just looks like it's a lining issue. Still a little scary. I just realize there is nothing I can do but wait and see at this point. HE said the mass dose of Aygestin should have stopped my bleeding if it was just normal hormonal issues. Again a scary statement, despite how he tried to come across as somewhat postivie about the outcome.
He also told me If I wanted to not do the painful biopsy I could do a D & C but reminded me of the cost and the risks with Anesthesia. So I guess I will be enduring the office procedure. I am, going to try to get some very strong pain killers to take in advance and have on hand for after. ( just in case) I was offered a ride to and from from a Mom in the Girl Scout troop of my daughter's and I am, so relieved that I wont have to go this alone.
I didn't want to make my Husband take time off of work.+ He's not the most supportive person to have around anyway. So I feel a little better today. On the plus side this Gyno sat down, listened to all my concerns, thoughts, suggestions and explained everything pretty thorough
Thanks for your responses as well. It's nice to have people to talk with when your going thru some thing like this. My Mom had alot of menstral issues but she has Alzheimers and I can't really get any help from her at this point she doesn't seem to remember.
This board is so active that msgs get pushed to the next page before I realize it. Sorry I'm slow to see your question.
A TVUS is a trans-vaginal ultrasound. You're probably familiar with a regular utlrasound where they put cold jelly on the belly and slide the thing around to see inside. The TVUS is like a wand that's inserted into the vagina and images are seen from that angle. Pretty embarrassing but very effective. I'm not sure they would do it during active bleeding. It's usually scheduled a couple weeks out.
Thanks again for your responses.
What is a TVUS?
I dont know if there is much hope you will respond to this before I go to my appointment but I am, going to ask just in case....
He would not do a pap last time I was barely bleeding. I am, having a heavy-ish flow now after having one day of nothing. Can they/or will they do any testing in this condition? What will they do to get it cleared so they can look? Have you had testing when bleeding?
Thanks.
D.
I haven't talked to her the past couple days. I should check in and see how's she's doing. Between being due for her period (today) and the Provera, she might be feeling pretty lousy about now.
Glad you get a second chance to discuss this with another doctor. I am menopausal and had some funky periods during those perimenopausal years. They came close together or would skip for 3-4 months at a time, had chunky periods with clots, hot flashes (still have those) and emotions all over the place. The clots may have been from the fibroid (that I didn't know I had until last Nov.).
As for the CA 125 test, for women who are still cycling it's not very accurate. Sorry to burst your bubble. The number can be high for other reasons besides cancer. Or it can be low and a person could still have cancer. Not all cancers put out the marker that shows up on CA 125. I'm not impressed with the test at all to be honest. But for women going through chemo for ovarian cancer, it works pretty well to monitor how the chemo is working.
See if you can get the TVUS and what shows up from that. Sorry to say you have to be your own advocate and speak up. You can be polite but confident about what you're feeling and your concerns. Go for it.
OH yeah one other thing...it is progesterone not estrogen that he put me on. But the pharmacist is the one who told me the wrong thing!
I was supposed to be done bleeding by Monday according to this doctor and I am, not. What did your doctor tell your daughter? Did he say it should stop in a week?
Well, I called and told the medical center for women that I did not like the other man that his bedside manner was not too great. That I need someone who is compassionate and patient! I told them who I saw when I had my last baby and they got me in with him on Friday. I am,going to ask why they can't do the trans vaginal US and then a blood test for tumors. If there is Cancer it will show up. I would rather do those things before some really painful endometrial biopsy. Especially if they see alot of fibroids or cysts. Then it will explain a whole lot. I think. IF there are none then I guess I have to have the biopsy if he doesn't just believe it's perimenopause.
I would just love to hear from some other women that they had really long bleeding spotting mostly and then a couple of days heavy and then stop for a day and start again. I have brownish then it starts bleeding either lightly or like today .Heavy. Lots of little blood clots. I guess I'd like to hear that Women can actually have all this and it is JUST PERIMENOPAUSE.
I wish I could help you. My daughter was having weird periods with nasty brown stuff in between cycles. She just went to the doctor and they put her on progesterone, not estrogen. They're hoping it clears out the uterus a bit because hers is too bulky. If not, then they're talking about a D&C. She also has a cyst on one ovary and that can cause bloating and pain here and there. But they did do the ultrasound (transvaginal). It's a creepy kind of test but not painful and it shows the uterus and ovaries pretty clearly. I would think that would be the first thing your doctor would do (my opinion). If you're not happy with that doctor (question his decisions and he's too impatient) it would be great to try a different doctor that would listen to you.