10:21 pm - 11/02/2010

disordered proliferative endometrium

Anyone have any information on "disordered proliferative endometrium?" I was diagnosed with this recently but cannot find much information on it. I am sceduled for a d&c in a few weeks to help clear it up. Anything I can do to prepare for it? Any tips on how to deal with the after affects of it? thanks!
jennifer0246 3rd-Nov-2010 02:42 am (UTC)
Was it an endometrial biopsy result? It sounds like an endometrial biopsy result :)

I'm sorry your doctor didn't explain it to you - that's kind of crap, to be honest. It's her/his responsibility to deliver results and explain them thoroughly. I'd actually encourage you to call and pose this question to her/him, as well.

So, basically it means that you maybe had some hormonal changes that led to lots of uterine lining (endometrium) building up, and that probably led to some abnormal/dysfunctional bleeding for you. Once the lining builds up, its hard to manage that without a D&C - you can try hormones, but they don't always work and they can have side effects, not to mention the idea is to induce bleeding to thin the lining, and if there's a great deal of tissue to pass, that can be uncomfortable, and even dangerous (in terms of anemia, etc).

A D&C is the standard 'treatment', though its also diagnostic as they'll send the tissue that is removed to the lab, so they can ensure there's no abnormal cell growth and nothing going on that they missed on biopsy. You can expect cramping and bleeding after the procedure, and a bit of an adjustment period as your body recovers and restarts a normal cycle. I'd plan to have a nice spot on the couch picked out, a quiet few days afterward, and nice people around to treat you well.

HTH! (and don't be afraid to call the doc and ask more questions of them!)
flawed_karma 3rd-Nov-2010 03:43 am (UTC)
I can't find much about disordered proliferative endometrium either. But I have had a D&C to clean up after a miscarriage.

A D&C is a relatively simple procedure. In short, they're going to go into your uterus and vacuum out the unshed lining and anything mucking up the joint. It's possible some of the tissue will be sent for a biopsy to make sure all is well.

I had my D&C in 2003. The biggest problem for me was the numbing of the cervix, and then the manual dilation for the tools to fit inside to vacuum out the lining. The needles in the cervix hurt like hell, and the numbing didn't take sufficiently so there was considerable discomfort. This is just my experience, many women (including some friends) have undergone this procedure and felt little to no discomfort.

The recovery was very close to the period from hell, with awful cramping and some bleeding. It was very painful for me, but again, amongst my friends, they had nowhere near the issues I did. It was later theorized that my excessive discomfort was in part due to endometriosis. My recovery lasted about a week, but I was back at work by day 4.

You may be prescribed very strong doses of Tylenol or Advil or other OTC painkiller, or you may be given a mild narcotic based on your pain levels.

Plan to spend a day or two in bed, since the cramps can be difficult. A hot water bottle or "wet heat" heating pad will be very helpful.

You will want to have pads on hand, tampons aren't recommended.

You will need to have unscented soap or body wash, the milder the better. I used a hypo allergenic unscented baby wash with excellent results.

Pat instead of wipe when you use the bathroom, you'll be more comfortable and less likely to irritate sensitive tissue that may be bruised, sore or swollen from the procedure.

Cool compresses on the irritated skin will help soothe, especially if you use an unscented oatmeal bath product, such as Aveeno Naturals.

Keep an all natural female lubricant handy, the irritated skin may feel dry and the lubricant will help it retain moisture and feel better.

Loose underpants will be more comfortable, plain white cotton washed in scent and dye free detergent (no fabric softener) is best.

Try to keep everything you use down there as natural as possible for the first week. No dyes, perfumes, harsh chemicals or other things. The more mild and natural, the better.

Try not to use hygeine wipes, or if you feel you must, se the all natural hypo allergenic baby wipes to clean up.

And as uch as it sucks, no baths for 7-10 days or whatever your doctor says. Showers are okay, just use gentle, natural, unscented cleaning products.

Hopefully some of this will make sense or be useful. Good luck!
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