Dr. Minkin: I hope you can help. I am a 47 yr old in the throes of peri-menopause. Diagnosed with Fibro-Cystic disease in 1996 -- occasional ovarian cysts, but no problems. Irregular bleeding (in time and flow) started early 2012. My physical med history is good with HCTZ 25 mg controlling BP since 2009 and all labs well within their prospective ranges. Since 2009 my regular physician has done my paps with no problems. Since the peri-craziness started last year, I decided that this year I would go to a female OB-GYN to see, if possibly, their were some things that could be done to control the symptoms (mood swings, sleeplessness, no libido, etc.). Let me note that my regular doctor says no to hormones and I agree. I was actually very disappointed with OB-GYN. She had a litany of things for me to do, but I didn't like much of it. It included Effexor, Estratest (low dose bc), an ultra sound and pelvic exam (vaginal probe w/camera) and histological biopsy. No Effexor-I do not want to mess with my body chemistry like that. No hormones and I'm a moderate smoker. The imaging (including mammo) I did gladly and fibroids were discovered. The histo/biop, I have not completed. My normal annual physical was in June and this occurred in July. My lab work was excellent in June. Is it really necessary to have another camera look-see and biopsy? I feel fine and exercise often, but I am just not comfortable doing the histo/biop. If I had one symptom that I would like to control, would be the bleeding. It can be excessive at times, but it will also disappear for 8 or 9 weeks at a time. Thank you so much for your time.View Thread
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