The patient feels healthy except she is extremely tired of passing large clots for two weeks out of every month. She presently has nearly stopped bleeding. There was a 15 minute discussion on alternatives of retrying the hysteroscopy D&C and performing an endometrial ablation. The option of going to University of Virginia for referral for possible robotic hysterectomy. The patient does not want an IUD at this time. Her exam at the last visit the os of the cervix could not be sounded and was extremely painful. The patient was discussed a trial of Megace. The patient has never had a blood clot in her lower extremities but is high-risk for that and was warned of the signs of a blood clot secondary to the medication. The patient was given 40 of Megace a day for 14 days each month and to be
The patient feels healthy except she is extremely tired of passing large clots for two weeks out of every month. She presently has nearly stopped bleeding. There was a 15 minute discussion on alternatives of retrying the hysteroscopy D&C and performing an endometrial ablation. The option of going to University of Virginia for referral for possible robotic hysterectomy. The patient does not want an IUD at this time. Her exam at the last visit the os of the cervix could not be sounded and was extremely painful. The patient was discussed a trial of Megace. The patient has never had a blood clot in her lower extremities but is high-risk for that and was warned of the signs of a blood clot secondary to the medication. The patient was given 40 of Megace a day for 14 days each month and to be