You wrote:
"Current medical status: A month back my
friend had a minor accident bruised her
toe and kness..nothin much to it..it
started swelling in 2 days time..After a
week the doctor said the knee wounds
infected so put her on an antibiotic
course...he changed the antibiotic 3 times
in the course of a month..cos the swelling
didnt come down(meanwhile she was also on
medication for hormonal imbalance..once
her periods start it doesnt stop so 1
years back he put her on estrogen and then
after some time progestrone for 3 months
and then later since nothin worked she
started with ayurvedic tablets which were
helping but she had to keep on takin it so
she used to take both the antibiotic as
well as the ayurvedic tabs) Well the
wounds healed completely but the swelling
never came down we went to the ortho hes
asked for a scan..when the scan reports
came back he asked us to consult a
vascular surgeon..He diagnosed it as
extensive DVT..he told us both both the
major blood vessels h! ad clotted in the
injured leg all the way upto the tummy and
it had spread to the next leg as well..got
her admitted..heparin injection were
adminstered, stocking on both legs were
put and we went for a scan again the next
day...this time they found a cyst 5cm in
diameter in the ovary...The vascular
surgeon said a minor accident couldnt be
the cause for such an extensive DVT not to
the extent to reach upto the tummy and
spread...they have doubts on whether the
cause being because of all medicines shes
been taking...and how should we go about
the cyst treatment since the tablets she
on now are blood thinners...should the
cyst be treated surgically or on
medication?
Current medical treatment: heparin
injections for next 3 days and blood
thinner tablets for next 6 months and
compressed stockings to be worn on both
the legs for next 2 years"
A small injury on the lower extremity
can’t cause deep vein thrombosis (DVT)
but when combined with large doses of
estrogen and progesterone, DVT can
manifest. In fact, DVT is the worst side
effect of estrogen and progesterone
therapy. Be sure to consult your doctor,
but it seems pretty clear that you should
stop taking those hormones immediately!
The ovarian cyst you are experiencing has
been recently discovered but we can't be
sure when it developed for the first time.
If the cyst first started a long time ago
it could be the reason for your prolonged
and heavy periods (menorrhagia). Did your
doctor take an ultrasound examination
before start giving you hormonal therapy?
Hormonal therapy is given for treating
menorrhagia only if the reason is
functional and not organic. Did your
doctor exclude any organic reason
(polypus, myoma, infection…) for
menorrhagia before starting with hormonal
therapy? When hormonal therapy showed no
results the next step is curettage. The
other possibility is that the hormonal
therapy itself has caused the ovarian
cyst.
No matter the cause, a cyst with such a
large diameter (5 cm) should be removed
surgically. Any surgical intervention
(except for an urgent one) is
contraindicated while on therapy with
heparin and blood thinners because there
is a risk of heavier bleeding. When
therapy for DVT is finished you can remove
the ovarian cyst. In the meantime, the
ovarian cyst should be monitored on
ultrasound. Heparin and blood thinners can
make menstruation heavier than previously.
You can consult your gynecologist and
transfusiologist about these and other
procedures.
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