How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Norm S. Your Own Question

Dr. Norm S.
Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11148
Experience:  Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
13711182
Type Your OB GYN Question Here...
Dr. Norm S. is online now

I am a 47 year old female - my Dr put me on Premarin 0.625

Resolved Question:

I am a 47 year old female - my Dr put me on Premarin 0.625 just under six months ago for hot flushes and night sweats which have all but gone, I have been on a period for the last 7 weeks and instead of ordering a repeat prescription, I made an appointment with her for a bit of reassurance that prolonged periods was normal at my age and while HRT is getting into system. My Dr admitted she should never have put me on estrogen only HRT as I still have a uterus. She examined me and told me I had an enlarged uterus and has made me an urgent appt for an ultrasound and transvaginal scan and changed the HRT to Evoril Sequi and told me to start with the progesterone ones first. I am now absolutely terrified that because I was on estrogen alone for so long, damage has been done. I am still bleeding and passing small clots, about the size of a 10p piece and although the scans are just 3 days away, do you think damage could have been caused?
Submitted: 7 months ago.
Category: OB GYN
Expert:  Dr. Norm S. replied 7 months ago.

What were your periods like before starting the Premarin?

Did you have a pelvic exam 6 months ago, and if so, did you have an enlarged uterus at that time? Thank you.

Customer: replied 7 months ago.
My periods have always been painful and quite heavy but got heavier as I got older but never lasted longer than 10-14 days at the most.I had no examination 6 months ago, the Dr just took my blood preasure but my smears are up to date and last one last year was normal.
Expert:  Dr. Norm S. replied 7 months ago.

How regular were your periods coming before starting the Premarin? Were they coming every month?

Customer: replied 7 months ago.
The doctor has put me on Mefenamic Acid and Tranxemic Acid tablets in the past but I wasn't using them regularly as periods became more irregular as I got older and I haven't taken either of them for well over six months.Before starting the Premarin, my periods were around every three months on average.
Expert:  Dr. Norm S. replied 7 months ago.

I believe that you need to have an endometrial biopsy, which is when a sampling of the uterine lining is taken by a small tube through the cervix.

It's hard to know whether there might be cancer or pre-cancer change inside your uterus. The endometrial biopsy is the way to know. If you could see an OB/GYN doctor, that's the first thing that would be done.

Neither the 6 months on Premarin nor the enlarged uterus are that worrisome in themselves, and there may only be some minor buildup of your uterine lining causing the bleeding you're having. But the only way to know is by an endometrial biopsy or a D&C. If I were to see you, I'd probably do the D&C, because it would stop the bleeding plus give an answer as to whether there is anything serious going on. The ultrasound won't really tell you.

Customer: replied 7 months ago.
is the bleeding caused by the body trying to shed the build up of lining caused by the excess estrogen then?I worked out that in the last 61 days I've been bleeding for 50 of them so as you can imagine I am getting a bit desperate now.
Expert:  Dr. Norm S. replied 7 months ago.

The bleeding is caused by the buildup of the uterine lining. It builds up over time, and then it starts to bleed or spot.

The body won't shed that built up lining without either progesterone or a D&C.

Whether or not there is something serious doesn't depend on the number of days of bleeding. All that bleeding just tells you there is a problem which needs to be taken care of.

Customer: replied 7 months ago.
Okay I understand, so the heavy bleeding I'm experiencing now could be as a result of being on the progesterone part of the patches the dr has now put me on, although have only worn the first one for two days?
Expert:  Dr. Norm S. replied 7 months ago.

No, the bleeding is due to the buildup of the uterine lining, which has probably been building up for a long time.

The progesterone will help resolve the buildup, but that takes a while.

Customer: replied 7 months ago.
Okay thank you. As I said I'm having the scans on Monday morning but am just sitting here thinking all sorts of things but I guess I'm in the system now and am sure what needs to be done will be done but I am very scared something is really wrong.
Expert:  Dr. Norm S. replied 7 months ago.

You're welcome.

As I said, you'll probably be fine, but it may take a little while to be sure.

Please click the rating stars. Thank you.

Customer: replied 7 months ago.
Thank you very much for your time.
Expert:  Dr. Norm S. replied 7 months ago.

You're welcome.

Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11148
Experience: Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
Dr. Norm S. and other OB GYN Specialists are ready to help you
Expert:  Dr. Norm S. replied 7 months ago.

Thank you for your payment and rating.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Monika Hearne, M.D.

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/drhearne/2009-11-8_74742_monika_hearne2.jpg Monika Hearne, M.D.'s Avatar

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified OB/GYN

    Satisfied Customers:

    131
    OB/GYN with 20 years of experience.
  • http://ww2.justanswer.com/uploads/DO/doctor norm/2013-8-13_19659_drnorm.64x64.jpg Dr. Norm S.'s Avatar

    Dr. Norm S.

    Board Certified OB/GYN

    Satisfied Customers:

    7911
    Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
  • http://ww2.justanswer.com/uploads/SA/SaulJE/2013-8-20_202642_drsaul.64x64.jpg Dr. Saul's Avatar

    Dr. Saul

    Doctor

    Satisfied Customers:

    1877
    I am a board certified, practicing obstetrician gynecologist with many years of clinical experience.
  • http://ww2.justanswer.com/uploads/RO/rollins/2015-5-30_142734_.64x64.jpg Dr. C.'s Avatar

    Dr. C.

    Board Certified

    Satisfied Customers:

    1335
    30 yrs experience, awarding winning educator
  • http://ww2.justanswer.com/uploads/jbbrowndoc/2009-09-29_180651_headshot.jpg Dr.JBB's Avatar

    Dr.JBB

    Board Certified OB/GYN

    Satisfied Customers:

    1293
    15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence
  • http://ww2.justanswer.com/uploads/RP/Rpjtlawr/2012-9-5_16443_Robportraitadjusted.64x64.jpg Dr. Lawrence's Avatar

    Dr. Lawrence

    OB/GYN

    Satisfied Customers:

    371
    Board Certified OB/GYN and accomplished educator
 
 
 

Related OB GYN Questions