 
                            What Causes Excessive Loss Of Blood During D And C Procedure?
 
 
                                    
                                    
                                          
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                                           Tue, 27 Jan 2015
                                           
                                        
                                        
                                        
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                                             Tue, 27 Jan 2015
                                                
                                            
                                                Answered on
                                                
                                                Tue, 27 Jan 2015
                                                
                                            
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                                             Thu, 12 Feb 2015
                                                
                                                
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                                                Thu, 12 Feb 2015
                                                
                                                
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                                            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
                            
                                    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.
                                    
                            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
                                  
                              
                                          
 
                                    
                                    
                                 
  
 
                                    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
                                
                            
                                    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
                                    
                            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
                                  
                              
                                          
 
                                    
                                    
                                 
  
 
                                    Thank you   when get reports will get back to you.  Really appreciate your time and effort
                                
                            
                                    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"
                                    
                            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
                                  
                              
                                          
 
                                    
                                    
                                 
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