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I am 52 year old female. I have had 4 children. My last period ended 1/19/2011. No bleeding since then. About three months ago I started having a nasty yellow discharge-with no symptoms of itching/odor/lesions. I then started with labor like cramps 24 hours daily. The cramp is akin to being 8cm's dialated, low, radiates down my left butt cheek and low back. NSAIDs do not help. Pelvic exam was negative, transvag us showed 9.5mm endometrium, fluid distended uterus. An endocx biopsy showed a benign polyp. I have been b lown off by the doc at this point.I cannot take any hormonal products as I have a genetic clotting disorder called Leidan factor 5. If I didnt keep calling about the pain he would have just been done with me and see me prn...The cramping is horrific and I cannot help but assume this represents some form of cancer...Doesn't further followup need to be done? And if yes, what, and what urgency should be assigned to it?How aggressive do I get with my gyn? Thanks
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Hi Anon,
Thanks for posting. Your missed period could be related to beginning symptoms of perimenopause. However, it should still be looked into. If you feel as though nothing is being done for your pain and fluid collection in the uterus, then you have a right to blow your OB/GYN off for another who will take you more seriously.
It also helps to sit down with your doctor and ask him to explain exactly what all of your results mean. "It's normal" is sometimes not good enough... if we were talking about blood results where doctors will only address critical lab results then that is one thing, but when it refers to u/s results they should be further explained. Unfortunately, no one but your doctor or a new OB/GYN with these results on hand can explain them to you.
Wishing you the very best,
Rosa
February 25, 2012 - 6:30pmThis Comment
Thanks Rosa for your interest...I am definitely technically "menopausal" having no period in 12 months. That's my concern, should a menopausal woman have an endometrium that is 9.5 mm- three times a normal menopausal number. That is what I have read to be ' hyperplasia"...So with documented hyperplasia in a menopausal female, with pain and discharge, and a fluid filled distended uterus on u/s I think that covers just about every s/s of endo ca I have found.I am also having feelings of a fluttering movement in my uterine area but haven't said a word because even I know how crazy I sound saying it! I guess what I am wondering is if I am being overly dramatic with pushing or do I have cause for alarm..I have a doc who sees me with one hand on the doorknob the entire visit aand have found he quickly summarizes all results without giving me all the info..I have to laugh to myself as the medical community spends a lot of time teaching women the early s/s of cancers and then ignores them when we present with them.I hate to leave a familar face but feel that maybe I should bolt for a second opinion..Thanks...
February 26, 2012 - 8:15amThis Comment
Hi Anon,
You are absolutely not out of your mind or out of place with your concerns. Endometrial Hyperplasia in women over 35 is a precursor to endometrial cancer and although this does not mean that you have cancer, I can definitely understand your concern. In my opinion, a doctor who sees you in a hurry all the time is not a reliable one and you deserve someone who is professional enough to sit with you and discuss your results thoroughly.
Please keep us posted,
Rosa
February 26, 2012 - 3:19pmThis Comment