Further to my thread on abnormal uterine bleeding, my surgery only do phone consultations.
My case is too long and complex to describe in a 10min max phone conversation to a GP in my surgery, you never see the same one twice hardly.
I am being tested for autism spectrum condition on 13th and find talking about stressful things on the phone very difficult, my mind just freezes.
I rang 111 and they said I can see one at the A&E, and I am wondering, if I get this printed off and give it to the doctor at A&E will they find it too long, I have abbreviated it as much as I can, while giving all relevant info.
Thanks for reading
* Long and complex case, prescribed diazepam 28mgs. 54 year old postmenopausal experienced abnormal uterine bleeding on and off since June 2018 with various medical interventions.
* Been Corresponding with NHS Gynaecologist Dr Heather Currie MB BS, FRCOG, DRCOG, MRCGP. Associate Specialist Gynaecologist at Dumfries and Galloway Royal Infirmary, I have an email she thinks I need a vaginal exam and a scan.
* Discovered I was addicted to valium in 2016 and was on 75mg.
* Was on sequi - 200mg oral utro and 100mg evorel. My mental health deteriorated on the days I wasn’t taking utrogestan. Being assessed for Autism Spectrum Condition on 13th October this year- Autistic people have uncontrollable rages, due to stress. I started banging my head deliberately, scarring my wrists by biting, breaking my property in a rage.
* In 2016 found out that progesterone's metabolite- allopregnanolone is cross tolerant to valium. Without seeing my GP I changed from sequi 200mg oral to daily 100mg oral utrogestan. Even the psychiatric nurse noticed I seemed more mentally stable after going on daily utrogestan. GP referred me for a scan and kept me on daily 100mg utrogestan and evorel 100mcg.
* No abnormal bleeding until June 2018, just mild bits of red/brown, and finally got courage to see GP in Dec 18 who referred me for a trans vaginal ultrasound where my womb was slightly thicker.
* Had scan and hysteroscopy, under general anaesthetic, no cancer found. Gynaecologist said my cervix was stenosed. He could not even get an implement 2mm thick in my vagina.
* Gynaecologist changed regime 100mcg evorel patch, 100mg oral utro and 100mg vaginal, to avoid first pass.
* Bleeding started up again in June 2019, GP reduced evorel to 75mcg, sweats started but bleeding stopped.
* Bleeding started again at end of 2019 and got quite bad with pelvic pain and clots, tender breasts.
* Jan 2020 Feb 2020, tender breasts, bleeding ranges from brown discharge and red blood and black/dark brown liquid/small dark clots with bits of “stuff in toilet” Use 1 pad a day but used 3 pads one or two days and two for one or two days. Intermittent mild pelvic pain most days. Breast tenderness.
* In March my pelvic pain was so bad I had to take paracetamol. I seemed to have a long period with clots, and stringy bits on tissue when I wiped. It was like a long heavy period.
* In early April, without telling my GP, due to evorel shortages, I started 3 pumps of oestrogel privately bought by MHRA pharmacy, but still got bleeding and discharge although not as bad as March. Lowered dose to 50mcg. This week a male GP did a telephone routine review, they now know I am on gel but dont know about discharge and bleeding. Still need fan in bed. GP now knows I am on gel but too scared to tell them about bleeding.
* In September I got worse pelvic pain for few hours one day, red blood, this is the longest bleeding episode I have had, red blood, dark small clots, bits in toilet, dark brown discharge. Tender breasts. Breast tenderness has never been a bother, but strange as I am 54.
* When I urinate there are spots of red/brown matter in the toilet bowl.