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What Causes Excessive Loss Of Blood During D And C Procedure?

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Posted on Thu, 12 Feb 2015
Question: female 29 yrs had excessive loss of blood durinf D/C She now is in earlt menopause and infertile. Can this be result of loss of blood during D/C i.e. sheenans diserase or other cause thank you
doctor
Answered by Dr. Mahesh Koregol (50 minutes later)
Brief Answer:
Sheehan's syndrome

Detailed Answer:
Hello

I read your query and I understand your concerns about Sheehan's Syndrome.

After such repeated and difficult D and C anterior part of pituitary gland undergoes necrosis causing infertility.

But this does not cause menopausal changes. She needs to check ovarian reserve by transvaginal ultrasound scan.

But if D and C has caused intrauterine adhesions (called Ashermann's syndrome) she will need uterine surgery to correct it.

Please attach recent reports if you have. I will be able to advice further seeing these reports.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (12 minutes later)
Thank you very much but would the excessive loss of blood result in the necrosis of the pituitary gland and result in the infertility. Your observation of the ashermann's syndrome is also instructive. Thank you again
doctor
Answered by Dr. Mahesh Koregol (5 minutes later)
Brief Answer:
Yes

Detailed Answer:
Hello

Yes. Excess blood loss which causes small amount of thrombosis (blood clots) to hit pituitary and cause necrosis.

But this is not very common.

Please scan and attach hormone, ultrasound scan, hysteroscopy reports so that I can advice better as to how to proceed.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mahesh Koregol (18 minutes later)
Thank you when get reports will get back to you. Really appreciate your time and effort
doctor
Answered by Dr. Mahesh Koregol (2 minutes later)
Brief Answer:
You can ask directly to me next time

Detailed Answer:
Hello

If you wish to ask query to me directly next time, start your question as "Query for Dr. Mahesh Koregol"
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3830 Questions

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What Causes Excessive Loss Of Blood During D And C Procedure?

Brief Answer: Sheehan's syndrome Detailed Answer: Hello I read your query and I understand your concerns about Sheehan's Syndrome. After such repeated and difficult D and C anterior part of pituitary gland undergoes necrosis causing infertility. But this does not cause menopausal changes. She needs to check ovarian reserve by transvaginal ultrasound scan. But if D and C has caused intrauterine adhesions (called Ashermann's syndrome) she will need uterine surgery to correct it. Please attach recent reports if you have. I will be able to advice further seeing these reports.