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Dr. Kathy Maupin

Medical Director of BioBalance Health and Author of The Secret Female Hormone

Postmenopausal Uterine Bleeding

Dr. Maupin and Brett Newcomb discuss the diagnoses and treatment for Postmenopausal Uterine Bleeding.

In this week’s podcast, we are talking about Postmenopausal Uterine Bleeding. This is a serious issue for doctors because postmenopausal bleeding is the first sign of uterine cancer. It is an indicator that compels doctors to investigate whether or not their patient has cancer. Once they can determine that it is not cancerous, then they can begin to think about why is it happening and what can be done treat it.

Women who suffer from postmenopausal uterine bleeding need to go through a hierarchy of steps in order to deal with it.  One of the first steps is to get a non-invasive ultrasound. An ultrasound is going to tell them if their uterine lining is too thin. If it is, and they have had some bleeding, there is really nothing to worry about except for the hassle and the mess.

I used to deal with this all the time as an OBGYN. I do not deal with it as much today, but I still encounter it through my estrogen replacement therapy practice.  It is never an issue when we replace testosterone; it is only when the estrogen is replaced that this bleeding can sometimes happen. Any time we give estrogen and then get bleeding, after investigating whether the bleeding is cancerous or not, we work to figure out how to balance the amount of estrogen to avoid uterine bleeding.

There are several steps we discuss in this podcast. They range from taking progesterone with the estrogen (usually at night) to getting a Mirena IUD, to monitoring whether or not the woman is taking too much Vitamin K or is on blood-thinning medication such as Warfarin. These can also cause uterine bleeding.

It is important to remind women (and sometimes their doctors) that replacing testosterone will never cause uterine bleeding. When we replace estrogen we sometimes get bleeding and there are straightforward strategies for dealing with it. We never discount it because it can be a first sign of cancer. Once we have determined that it is not Cancer, we begin to look at strategies in order of invasiveness and cost to try and regulate the estrogen amount so that the woman does not have issues with postmenopausal uterine bleeding. These issues, when they develop are irritating and messy, but not deadly and not incremental in terms of causing other problems.

Listen to today’s podcast to obtain reassurance and information to help you make good decisions.

More about Biobalance 4 Women and Me

I understand that to begin a relationship with a new doctor you must form a contract of trust with her. I want you to learn about me and my staff so you can trust us with this portion of your health care. You may want to hear my story when I was in need of a compassionate doctor, and how I found pellet therapy. I will share my complete story in an upcomming blog entry.

 Above all I want you to know that I am qualified to take care of you. I’ll also share my practice history and you can read the credentials of my medical staff on this website. Please acquaint yourself with us. I am not a researcher, but an OBGYN practitioner who has taken care of women for over 25 years, doing all the things OBGYNs do, as well as prescribing bio-identical formulations since 1986. I study research from various specialties to keep me on top of the newest findings for the benefit of my patients.

I earned my medical degree is from the University of Missouri Medical School, but I always felt out of place in that world. I was one of the first female OBGYNs and approached my patients and their care from a preventive standpoint, trying to partner with them to achieve wellness.

I am the creator and the only physician for Biobalance 4 Women. I am board certified 1989 and re-certified in 1998 by the American College of Obstetrics and Gynecology. I am also a fellow of that college. I am licensed in Missouri, and also practice with a group of women doctors, Balanced Care for Women, in St. Louis Missouri.

I have been in private practice for 22 years. I have spent years developing treatment protocols for Biobalance 4 Women and now Biobalance 4 Men, as well as collaborating with business experts as to how to do the business of this type of practice. All this time I have been aching to finish my virtual CD program for you and other women who ask me why they have not heard of this therapy before!

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