{"id":657592,"date":"2015-07-23T00:00:00","date_gmt":"2015-07-23T00:00:00","guid":{"rendered":"https:\/\/stg-hemmetsjournal-stage.kinsta.cloud\/hemmetsjournal\/artiklar\/experterna\/20150722\/jag-oroas-av-mina-mellanblodningar\/"},"modified":"2016-05-15T16:56:54","modified_gmt":"2016-05-15T16:56:54","slug":"jag-oroas-av-mina-mellanblodningar","status":"publish","type":"post","link":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/artiklar\/experterna\/20150723\/jag-oroas-av-mina-mellanblodningar\/","title":{"rendered":"Jag oroas av mina mellanbl\u00f6dningar"},"content":{"rendered":"
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Jag \u00e4r 46 \u00e5r, har aldrig varit gravid, inte \u00e4tit p-piller p\u00e5 de senaste 20 \u00e5ren och sedan jag b\u00f6rjade menstruera (13 \u00e5r) har den alltid varit regelbunden. Det senaste \u00e5ret har jag haft problem med utdragna, ej speciellt rikliga, menstruationer (mer \u00e4n tio dagar).<\/p>\n

I v\u00e5ras unders\u00f6ktes jag p\u00e5 kvinnokliniken. De fann en polyp i livmodern och tjock slemhinna. I april gjordes en hysteroskopi. V\u00e4vnadsanalysen visade senare att det var en godartad slemhinnepolyp som “skrapats bort”.<\/p>\n

Nu i september och oktober har jag haft flera mellanbl\u00f6dningar, l\u00e5ngdragna menstruationer (sparsamma bl\u00f6dningar men utdragna i tid). N\u00e5gra dagar vanliga flytningar endast och sedan kommer det blod igen n\u00e5gra dagar. Jag har f\u00e5tt en ny tid p\u00e5 gyn. Vad kan det vara? Hur sannolikt \u00e4r det att det skulle vara cancer som inte uppt\u00e4cktes vid hysteroskopin? Vilka behandlingar kan vara aktuella?<\/p>\n<\/p><\/div>\n<\/div>\n

Gynekolog Kristina Billberg svarar:<\/strong><\/p>\n
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Det \u00e4r v\u00e4ldigt osannolikt att man skulle kunna missa en cancerdiagnos i samband med en hysteroskopi (d\u00e5 man tittar in i livmoderh\u00e5ligheten med ett tunt r\u00f6r) och en skrapning. Troligtvis \u00e4r det samma problem nu som tidigare, det vill s\u00e4ga f\u00f6rtjockad slemhinna i livmodern och kanske \u00e4ven en ny polyp. Det \u00e4r mycket vanligt att dessa problem uppst\u00e5r under \u00e5ren runt klimakteriet.<\/p>\n

Ser det p\u00e5 ultraljudsunders\u00f6kningen ut som en ny polyp brukar man \u00e5terigen g\u00f6ra en hysteroskopi och skrapning f\u00f6r ta bort den.<\/p>\n

Problemet med f\u00f6rtjockad slemhinna behandlar man med gulkroppshormoner som tunnar ut slemhinnan i livmodern. Man kan till exempel ta en tablett som heter Provera. En vanlig dos \u00e4r 10 mg en till tv\u00e5 g\u00e5nger dagligen. En g\u00e5ng per m\u00e5nad kan man g\u00f6ra ett veckol\u00e5ngt uppeh\u00e5ll med tabletterna f\u00f6r att framkalla en menstruation som d\u00e5 brukar vara mycket kortare och sparsammare \u00e4n tidigare.<\/p>\n

Ett annat s\u00e4tt att tillf\u00f6ra gulkroppshormon \u00e4r via hormonspiral. Man brukar rekommendera n\u00e5gon typ av behandling vid f\u00f6rtjockad livmoderslemhinna inte bara f\u00f6r att g\u00f6ra menstruationerna dr\u00e4gliga och bli av med mellanbl\u00f6dningar utan ocks\u00e5 f\u00f6r att f\u00f6rhindra att det p\u00e5 sikt uppst\u00e5r cellf\u00f6r\u00e4ndringar i den tjocka slemhinnan. Det \u00e4r bra att du best\u00e4llt tid f\u00f6r en ny kontroll men jag tycker inte det l\u00e5ter som du beh\u00f6ver oroa dig! <\/p>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Jag \u00e4r 46 \u00e5r, har aldrig varit gravid, inte \u00e4tit p-piller p\u00e5 de senaste 20 \u00e5ren och sedan jag b\u00f6rjade menstruera (13 \u00e5r) har den…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ep_exclude_from_search":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[136],"tags":[142],"class_list":["post-657592","post","type-post","status-publish","format-standard","hentry","category-experterna","tag-gynekologen"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-12 21:45:20","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/657592","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/comments?post=657592"}],"version-history":[{"count":0,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/657592\/revisions"}],"wp:attachment":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/media?parent=657592"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/categories?post=657592"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/tags?post=657592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}