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Perforated uterus and excessive bleeding

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Is it normal to lose 1600 cc's of blood during a c-section? What are the after effects of a perforated uterus? infection, infertility, etc? What other options do I have besides birth control for the cyst?

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replied February 13th, 2009
Vaginal and Uterus Health Answer A5755

Current medical status: I had a c-section in may and i lost 1600 cc's of blood. In July I had an IUC put in. In October I found out it perforated my uterus and also finding a enlarged ovary with a cyst. I was put on birth control but its making me very depressed almost suicidal and i'm having more than one period in a month.

Cesarean section is considered surgery. Therefore, as in every other operation, there are possibilities for some complications to occur that will make the patient loose a lot of blood.
Immediately after the perforation the greatest danger comes from bleeding too much. If the bleeding is not too much, and the condition is not recognized or is neglected, an infection can occur. After the perforation is treated surgically, there is a possibility that the rate of successful conceiving would be decreased. This is due to the scar tissue the uterus develops at the place on its wall where the perforation occurred. The new tissue can never completely replace the old one. If conceiving occurs, there is a possibility that the egg will not implant in the right place, and can therefore cause placenta previa. It is a condition when the placenta covers partially or completely the cervical opening of the uterus, thus preventing normal delivery.
95% of ovarian cysts do not need treatment. Whether treatment is needed depend solely on the decision of the doctor, for he includes your previous and present health condition and the dimensions of the cyst in his decision. However, if the cyst persists for two or more menstrual cycles, some diagnostic procedures and treatment are needed. The procedures might include ultrasonography and laparoscopy, and some times biopsy. Depending on the results of the examinations, other treatment than birth control pills can be recommended by your gynaecologist.

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