CAT: An appointment with Dr Roma at the LOL surgery please

[Guest guest]

Hi, Aztec!

PseudoDoc Roma here, reporting for her appointed rounds! Here are my

thoughts about your bleeding.

Spotting (or even outright bleeding) lasting anywhere from a few hours to

several days MAY occur at the time of ovulation -- with or without pain. Note

that sometimes pain may occur WITHOUT bleeding. This mid-cycle (bleeding and or

pain)phenomenon is known as " Mittelschmertz. "

As I understand it, at ovulation,

1) when a mature follicle ruptures, it releases an egg (which is, of course,

contained in the follicle).

2) Sometimes this ovulatory event can make the follicle, (to quote one of

your favorites, Elvis Presley), " All Shook Up "

3) Being " all shook up " may, in a given menstrual cycle, lead to a temporary

decrease in estrogen.

4) Since the integrity of the lining of the uterus depends on estrogen, a

dip in estrogen, even a small one, may lead to shedding of the uterine lining

and some bleeding at ovulation.

This kind of bleeding (and related pain) is NOT considered abnormal and may

occur sometimes, always or never. I first had some mid-cycle bleeding in my mid

thirties, and continue to have some type of spotting during most of my

cycles.

However, any and all bleeding BETWEEN periods really should be reported to,

and evaluated by your doctor--- your REAL, FULLY CREDENTIALLED doctor, not a

*MD* (medical dilettante), like the fraudulent (although well-intended)

" Doctor " Roma!

According to Dr. , even if your bleeding is determined to be

" abnormal " (i.e., not related to mittelschmertz), DON'T PANIC--it's " almost

always " " benign and easily treatable. " He writes in his book _A Gynecologist's

Second Opinion_: " The most common causes are hormonal changes, ovarian cysts,

uterine or cervical polyps, overgrowth of the uterine-lining cells

(hyperplasia),

fibroids, and rarely precancer or cancer of the uterus. "

Hope this helps YOU from getting " all shook up. " ( ...Well, bless my soul,

what's wrong

with me? la lalalala etc. etc......:-)

-Roma,

A Medical AND Musical Dilettante

In a message dated 3/10/2004 11:12:25 AM Eastern Standard Time,

catrionabass@... writes:

Anyone???

Problem: Bleeding half way cycle when I don't usually have

bleeding problems. Why is this happening, what should I do and

should I worry?

Here's some more information that may or may not be relevant:

(The ultrasound report of March 2003 gave the following

measurements, types and positions.) I had an abdominal

myomectomy in August last year. The surgeon removed a fibroid

mass (that was 62mmx61mmx53mm) arising from the right

aspect of the uterus. He left in 'at least one' small intra mural

fiboid (of 14mm) present in the anterior wall. The endomerial

thickness was in March 2003, within normal limits and regular

appearance. The ovarian cyst (multi septated thin walled right

ovary anechoic cyst) was found to have disappeared by itself

when I was cut open.

My periods have always been regular and normal. Heavy

bleeding was not one of my fibroid symptoms.

I am half-heartedly, warily taking iron tablets.

My last period was 5 days late and this unexpected bleeding

started on day 13 (sunday 7th March and continues)

I haven't been on any exotic far flung foreign holidays (Unless

you count a dentist's appointment and filling in Basingstoke :-)

I am under no more stress than the usual stresses I've had for

the past year and a half with fibroids.

POP again, since around Nov or Dec of 2003 and no problems.

No antibiotics except whatever they put in our supermarket

foods.

Dr Roma?.... Anyone?

Aztek