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What Do These Following Endometrial Biopsy And Pap Smear Reports Indicate?

Posted on Fri, 28 Oct 2016

Question: What do these results mean for my endometrial biopsy it and Pap smear? I am not on birth control and took Plan B three times in two months this past July August time frame. I've had a regular. Since then I've been on my parade now for 17 days straight. My vaginal ultrasound shows right now I have PCOS but all my bloodwork says my hormones are perfect and really good. So my suspicion is that this is a result of Plan B when my body is not used artificial birth-control for the past decade almost.

Answered by Dr. Vjollce Mbiarra (48 minutes later)

Brief Answer:
Explanation is given below ...

Detailed Answer:
Hi dear and thanks for trusting to us your health issue.

Be happy that both Pap -smear and endometrial biopsy are negative, it means that they have excluded any serious issue as endometrial cancer or cervical cancer that can cause irregular vaginal bleeding .

In my experience as a Gynecologist I have treated patient with irregular vaginal bleeding due to use of Plan -B.

Hence in my opinion you should be calm, eat healthy especially iron rich food and drink more fluids (water).

While your blood work shows that your hormones are really good you can't say that you have PCOS. PCOS diagnosis is needed to have hormonal dis-balances.
About 40 % of women have polycystic ovaries but don't have PCOS.

If you have any further question please do not hesitate because I will be here .

All the best

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Vjollce Mbiarra (58 minutes later)

Bless you! Thank you. My doc said I had PCOS and still wanted to prescribe me a birth control pill even if my hormones were perfect and really good. Why fix what's not broken? He thought Plan B was just a coincidence, which I disagree with. I was perfectly regular my entire life before taking Plan B a few months ago. He thought it was out of my system by now.

Here are my bleeding dates since plan B consumption (3 separate times took Plan B in July-Aug)
-Aug 31st - Sep 9th = PERIOD (10 days)
-Sep 10th - Sep 17th = NO PERIOD (8 days)
-Sept 18th - NOW = PERIOD (18 days) :(

I have been eating so super healthy and been doing CrossFit three times a week. I lost 160 pounds and have been maintaining the weight loss for 2 years now and lost the weight and the course of 2.5 years prior to that. I'm 30 yrs old.

Questions:

1. What are my treatment options after seeing my bleeding dates above? I've been on my period for 18 days straight now! :( Sometimes it pauses for a few hours and changes colors and sometines clots. How long do you expect it to last

2. Do you agree that I should not feel pressured to take birth control of all my hormones are good? Why would I want to disturb or something that's good? I've been birth control for you for almost 8 years now. Maybe that's why Plan B had such a dramatic effect on my cycle. Your thoughts?

3. Do I need treatment for polycystic ovaries and what are the side effects?

You were the smartest person that I've talk to you when I've been to four docs so far. Thank you so much!

Please see other results below of vaginal ultrasound and blood work. And my before and after picture :) look forward to hearing back from you!?

Answered by Dr. Vjollce Mbiarra (23 hours later)

Brief Answer:
Explanation is given below.....

Detailed Answer:
Hi dear again and apologize for late replay.

I will try to give you a better answer for every question you have made.

1.Treatment vary form quantity and duration of vaginal bleeding, your general state(how you feel).
You can discuss with your doctor to start Vitamin K injection for minimally 5 days while you don't want to start hormones .

2. If vaginal bleeding is abundant and you doesn't feel better you can take birth control pills even if your hormones are within range because they will help to stop vaginal bleeding , you should take minimally for one month.
As I've written above, I have had patients like you , that plan B have caused abundant bleeding .

3. You don't have PCOS because all your hormones are within range and you don't have any signs and symptoms to justify this diagnose .
You look very very good .

If you have any further question please do not hesitate .

All the best

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Vjollce Mbiarra (3 hours later)

Thank you!!! You were the first Doctor Who is not try to force birth control down my throat. I like your suggestions and will pursue. My last question: is 4 months of irregular and prolonged bleeding typical in Plan B cases you've seen? I will contine to eat super healthy greens and crossfit 4 times a week. Thank you again. Also bough rasberey leaf tea. Hopefully that helps. Look forward to your answer.

Answered by Dr. Vjollce Mbiarra (20 hours later)

Brief Answer:
Do you have vaginal bleeding yet..

Detailed Answer:
Hi dear again !

I have had patient with irregular vaginal bleeding form the use of Plan B but when it was prolonged and it caused anemia,then I have prescribed treatment.

I usually begin with Vit K injection, and if it doesn't work I have prescribed other treatment as hormonal therapy.

Hence in my opinion if you continue with abundant vaginal bleeding you should contact with your doctor and begin with a therapy.

All the best

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Vjollce Mbiarra (1 hour later)

Okay, thankyou!

Answered by Dr. Vjollce Mbiarra (14 hours later)

Brief Answer:
You are welcome to HCM

Detailed Answer:
Hi dear again !
You are welcome to HCM for every health issue you may have .

All the best and God bless you

Above answer was peer-reviewed by : Dr. Yogesh D