Suggest Remedy For Severe Vaginal Bleeding And Hair Fall

Posted on Tue, 22 Sep 2015

Question: Well I am disabled and have been on high amounts of Opiates for over 10 years. Just recently in May my medications were taken away from me by my insurance which threw me into massive withdrawal. I had seriously low potassium and couldn't stop vomiting for about 5 days with no fluids staying down.I was admitted to the hospital for 5 days to get my potassium back up. During this 10 year period my menstrual cycles stopped and my OB/GYN did blood work and said my hormone levels were low and I was in a peri menopause state. Since this withdrawal I have had severe pain in my right ovary area, spotting with sexual intercourse, and suddenly on Aug. 20 I started bleeding. I bought some tampons but had to change them every 15 minutes. So I used a tampon and a pad and I would bleed through both those and my clothes within a half hour. My Doctor put me on medroxyprogesterone to use two times a day until the bleeding slowed down then to use one a day for 14 days total. It is Aug 30th and my bleeding has slowed but my pelvic area hurts really bad and my doctor told me to take a pregnancy test which was negative. In the shower today I lost large amounts of hair from my head. I have a sonogram tomorrow and it is going to be transvaginal as well. Then in October my doctor wants me to have an endometrial biopsy. Please tell me how likely is it that I have ovarian cancer? ( when pregnant with our only child in 2003 I had precancerous cells that went away after my c-section) right now I am still on opiates but nothing close to the large amount I was on prior)

Answered by Dr. Sameer Kumar (2 hours later)

Brief Answer:
perimenopausal bleeding

Detailed Answer:
Hello,
Thanks for the query to hcm,
The fact that you are in your perimenopausal state confers that your menses are likely to be irregular for atleast 2 years before they actually stop- say every 2-4 monthly and likely heavy with passage of clots. The prime concern would be that you should not have endometrial hyperplasia which can be confirmed only by an endometrial biopsy. So an ultrasound now after a course of progesterones would give an idea about the endometrial thickness which if more than 10mm still would warrant and endometrial biopsy.
If there are atypical cells with hyperplasia in endometrial biopsy then likelihood of you progressing to endometrial cancer would be high then and you shall be offered hysterectomy, else if only endometrial hyperplasia exists without atypical cells, then you can be maintained on progesterone( MPA) for next 6 months which shall help decreasing the hyperplasia.
Ovarian cancer is to be suspected if an adnexal ovarian mass is seen on a transvaginal ultrasound with internal septations and raised ovarian tumour markers, but the follow up would only be indicated after the ultrasound.
Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar