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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Biopsy Shows Suggestive Disordered Proliferative Endometrium With Benign Endometrial Polyp, Delayed Periods. What Is Wrong ?

Hi, I'm almost 46 years old and indian. Six months back I had my first episode of skipped periods followed by heavy bleeding, which resulted in a D&C. The biopsy said: Suggestive disordered proliferative endometrium with benign endometrial ( functional) polyp. My doctor said it was potentially dangerous and that I would either have to go for Mirena or a hysterectomy. When I went in for a second opinion, the other doctor told me that it was a completely normal report and that my body was in perimenopause. He asked me to relax and take things easy. Now after 6 months, after a delay of 65 days I started menstruating really heavily which continued for 12 days. Now I've been advised Autrin and Pause and been asked to wait for a week. Was the first doctor right? What exactly is wrong with me?
Wed, 31 Jul 2013
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OBGYN 's  Response
Hi,
I agree with your second opinion. There is no urgent need for surgery but you need to be regularly monitored. Your body is in menopause and the entire process takes at upto 2 yrs and until then you may have irregular cycles. Since you are skipping cycles, you get heavy bleeding when you do bleed. Thats normal. You can tale pause and autrin advised. Mirena can help you if you cant handle the bleeding.Oral progestrone can also help to control the bleeding. Otherwise pause will help with heavy bleeding. Evenually you will achieve menopause.
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Biopsy Shows Suggestive Disordered Proliferative Endometrium With Benign Endometrial Polyp, Delayed Periods. What Is Wrong ?

Hi, I agree with your second opinion. There is no urgent need for surgery but you need to be regularly monitored. Your body is in menopause and the entire process takes at upto 2 yrs and until then you may have irregular cycles. Since you are skipping cycles, you get heavy bleeding when you do bleed. Thats normal. You can tale pause and autrin advised. Mirena can help you if you cant handle the bleeding.Oral progestrone can also help to control the bleeding. Otherwise pause will help with heavy bleeding. Evenually you will achieve menopause.