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Off Topic :
post menopausal bleeding

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 sheila0304 (original poster member #25041) posted at 10:02 PM on Friday, September 27th, 2013

I'm new to my area so I don't have much of a history with this gynecologist.

Dr recommends a D and C because of thickened uterine wall. Is this just what is done? Any thoughts appreciated.

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jo2love ( member #31528) posted at 10:33 PM on Friday, September 27th, 2013

I'm sorry, but I don't have advice. Sending you mojo and good thoughts.

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 sheila0304 (original poster member #25041) posted at 11:58 PM on Friday, September 27th, 2013

Thanks. D and C sounds so barbaric.

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okaynow ( member #13813) posted at 1:12 AM on Saturday, September 28th, 2013

Are you on any medication that could increase the thickness of the uterine walls? Make sure your doctor knows about all your meds.

My mom had a couple of D&C's many years ago, though I don't recall the reasons. It was no big deal to her, just a small amount of cramping afterwards.

(((hugs)))

Married 18 yrs, together 25+.
D-day: 2/18/07.
1 child
The story doesn't really matter anymore. Time is a great healer. Life is good.

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mchercheur ( member #37735) posted at 1:21 AM on Saturday, September 28th, 2013

Have you had a pelvic sono?

You could have an endometrial biopsy first, before having a D & C.

Me: BW; Him: WH --Had 10 mo. EA/ PA with COW; Dday 5/2011 Married 35 years/Together 36 years/4 kids together, and 1 grandbaby; OW 20 years younger than us/divorced no kids Trying to R; don't know what the final outcome will be

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 sheila0304 (original poster member #25041) posted at 3:25 AM on Saturday, September 28th, 2013

Yes i had the sonogram. Dr gave me the option of the biopsy yet recommended the D and C .

I guess I was hoping this was fairly common yet nobody I know talks about it...I don't either that's why I'm here on an anonymous forum.

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purplejacket4 ( member #34262) posted at 4:12 AM on Saturday, September 28th, 2013

Doing the D&C will get ALL the tissue instead of just some with a biopsy. Just make sure he sends the tissue to path.

Me: BS 50
Her: FWS 53 (both family med MDs; together 23 years)
OW: who cares (PhD)
Dday: 10/11: 11/11 TT for months; NC 8/12
Limboconsiliationish
"band aids don't fix bullet holes" Taylor Swift
I NEVER mind medical ???

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 sheila0304 (original poster member #25041) posted at 5:45 PM on Saturday, September 28th, 2013

Thanks pj. Yes that's the plan..all the tissue and pathology report.

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InnerLight ( member #19946) posted at 7:00 PM on Saturday, September 28th, 2013

I had a D & C but I wish I hadn't bothered. I felt exhausted for a month afterwards because of the effects of the anesthesia. I get wiped out every time I go under general anesthesia. This doesn't happen for everyone I know but it does for me. The fatigue made me feel depressed too.

What is making the lining thicken? If you scrape it out won't it just grow back if the underlying issue isn't addressed?

Is there a lot of post meno bleeding? It's not unusual to spot or have semi mini 'periods' after menopause. Is there a less invasive way to check for pathology? D&C for post meno bleeding seems over medicalizing what is in most cases a normal occurrence.

Every time you go under general anesthesia it kills off brain cells so its wise to do it as little as possible. We need our brain cells post meno especially!

Acupuncturists and Naturopaths have so many less invasive approaches that a regular MD just doesn't know about. This may be a good time to expand your team of health care practitioners to get access to other approaches that are very effective.

BS, 64 yearsD-day 6-2-08D after 20 years together
The journey from Armageddon to Amazing Life happens one step at a time. Don't ever give up!

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kernel ( member #27035) posted at 3:33 AM on Sunday, September 29th, 2013

I think a second opinion from another gynecologist would be a good idea. You aren't comfortable with this option so it makes sense to talk to another doctor for your peace of mind.

"On particularly rough days when I'm sure I can't possibly endure, I like to remind myself that my track record for getting through bad days so far is 100% and that's pretty good."

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Bluebird26 ( member #36445) posted at 1:48 PM on Sunday, September 29th, 2013

My mum had the same issue. She also had a D & C, it seemed to fix the problem.

Hope that helps. Goodluck.

Me: BW

Best thing I gained in my divorce - my freedom.

Life's good.

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tushnurse ( member #21101) posted at 10:00 PM on Sunday, September 29th, 2013

First off no am8unt of bleeding is normal after menopause.

A D&C is the next step to determine cause. Sometimes its enough to stop it sometimes not. I had one no biggy didn't have general anesthetic, just sedation you know lala land like a colonoscopy, easy shmeezie.

It is very important to figure out what's going on, so that you stay healthy. May resukt in a definitive diagnosis and treatment. Some conditions, cause bleeding until the uterus is removed, others not. But I know for a fact that abnormal bleeding is annoying and worrisome.

Get some answers.

Me: FBSHim: FWSKids: 23 & 27 Married for 32 years now, was 16 at the time.D-Day Sept 26 2008R'd in about 2 years. Old Vet now.

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 sheila0304 (original poster member #25041) posted at 11:54 PM on Sunday, September 29th, 2013

Thanks all. I appreciate the feedback.

I'm planning to having a D and C with pathology this week.

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solus sto ( member #30989) posted at 12:40 AM on Monday, September 30th, 2013

Yes, a D&C is one of the the least invasive ways to assess what is going on. And post-menopausal bleeding really does need to be investigated.

It has the advantage, over biopsy, of removing the entire uterine lining.

(In the past, they'd leap to partial or even complete hysterectomy, and still do in some parts of the country; D&C is a relatively conservative approach.)

Good luck!

BS-me, 62; X-irrelevant; we’re D & NC. "So much for the past and present. The future is called 'perhaps,' which is the only possible thing to call the future. And the important thing is not to let that scare you." Tennessee Williams

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