Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Missed period and started spotting. Heavy bleeding after taking etosys. Should I go for a D&C?

Mar 2013
User rating for this question
Very Good
Answered by
Practicing since : 1998
Answered : 5956 Questions
i got my periods after 50 days and it has lead to spotting and hence i visited a gynac. She gave me Etosys and after that i have heavy bleeding. i got scan done and she mentioned that the endocrynal walls are 1.2CC while normal thickness is 4-6 mm and hence bleeding will continue for some time
She said a D&C could also be done
I am wondering whether i should go for a D&C . If so what will be the post procedure care i need to take
Posted Fri, 15 Feb 2013 in Menstruation and Miscarriage
Answered by Dr. Aarti Abraham 1 hour later
Thank you for your health query.
I would really appreciate it if you could attach the report of your ultrasound, since it appears that some words have been mistyped by you probably.
Awaiting your report at the earliest, so that I can assist you better.
Take care
Above answer was peer-reviewed by
Follow-up: Missed period and started spotting. Heavy bleeding after taking etosys. Should I go for a D&C? 4 minutes later
i am not able to upload so i type it in
Plevic ultrasonography (TVS)

Uterus anteverted myometrial echoes fairly homogeneous. no focal changes
endometrium thickness is 1.2 cm
cavity empty
a cyst noticed in left ovary

no free fluid noted in POD

Answered by Dr. Aarti Abraham 7 hours later
Hello again XXXXXXX,
I have gone through your ultrasound report.
If the scan was done immediately following your bleeding, or during your bleeding, then yes, a thickness of 12 mm ( 1. 2 cm ) is definitely abnormal.
This condition is called endometrial hyperplasia ( thickness of the lining of uterus. )
There are various causes for this.
The underlying reason is hormonal imbalance, which in your case is mostly age related, as during peri menopausal years, this is quite common.
Obesity, polycystic ovaries, diabetes, hypertension , smoking - these are all risk factors.
Certain hormone producing tumours also produce such a picture.
You should definitely go for a D and C as it will diagnose the condition and also tell you whether you need to worry about it developing into a malignancy in the future ( very small risk exists in certain types of endometrial hyperplasia ).
ALso, it guides further treatment protocol, based on the biopsy findings, and also helps in reducing the heavy blood flow
Meanwhile, if the bleeding is not very heavy, you can just go for an endometrial biopsy which is an office procedure, and much less invasive than a proper D and C. Based on the reports, a further hysteroscopy maybe advised.
After D and C, you would be discharged within a day, and no special precautions are required.
Get your blood sugars, BMI, blood pressure, thyroid status also evaluated.

Take care, and am always open to further discussions.
Above answer was peer-reviewed by
Follow-up: Missed period and started spotting. Heavy bleeding after taking etosys. Should I go for a D&C? 20 hours later
i have one more followup
i did the D&C and have given the sample for biopsy

i still have minor bleeding even after doing it. it is just 8 hrs since i did
is this normal to have still some bleeding
it is like a tinch after urination. it was almost nil for first 7 hrs
Answered by Dr. Aarti Abraham 2 hours later
Hi again
It is quite normal to have minor amount of bleeding and spotting following a D and C.
It might happen for a few days, please do not worry.
Stay in regular follow up as advised by your Gynecologist , and follow up the histopathology report also.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor