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.
How regular were your periods coming before starting the Premarin? Were they coming every month?
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.
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.
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.
As I said, you'll probably be fine, but it may take a little while to be sure.
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