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Is a D&C procedure immediately needed?

Am 33. I had excessive &prolonged bleeding 12days for the past two months, the second month, visited a GYN &was put on Primolut N & an Antacid to stop bleeding. Blood tests, came out normal on thyroid, blood-sugar and cholesterol. Am Anaemic coz the excessive blood loss. Ultrasound, had two simple cysts &a thick endometrium 1.7cm.

Post the ultrasound am on Folic Acid tablets &Iron supplements. GYN said apart from the thickened endometrial lining everything is normal, so we will administer oral medication, to curb the thickening &to stabilise menstrual flow.

OB/GYN had put me at ease, but my friend scares me that I have to undergo D&C and immediately. So I am flustered. Should I? Is a D&C procedure immediately needed?...
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replied September 30th, 2013
Hi,
Welcome to ehealthforum,
If the conservative treatment with oral medication does not help with controlling the endometrial thickness, and if the bleeding remains heavy and prolonged, then D&C would be necessary. If the D&C done also fails to curb the bleeding, then the procedures like endometrial ablation would help, or option of getting hysterectomy done would advised if all the above measures fail to control the bleeding, or if an endometrial biopsy suggest cancerous changes. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately.
Take care.



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