Decidual casts are unusual though well known to gynaecologists 1. She was prescribed Microgynon 30 micrograms combined oral contraceptive pill, standard dosage to take back to back for heavy painful periods. It is uncommon to see a decidual cast with the use of standard dose combined oral contraceptive pill. Tubal pregnancy is another common cause of decidual cast. Ectopic pregnancies are pregnancies that implant outside of the uterine cavity. Thank you so much for sharing. He was not worried by the decidual cast but rather he chose to be focused on my cyst, he even wanted to schedule a laparoscopy to see how deep the endometriosis was.
Her uterus was normal size with no adnexal mass or tenderness. Headaches, lack of libido, acne, pain in my legs and stomach issues were among some of the secondary effects I dealt with. Other than such obvious cases, you may experience extreme abdominal pain as well as excessive vaginal bleeding accompanied with pain. Her abdomen was nontender and non-distended with normal bowel sounds. E-mail submissions to afpphoto aafp. Want to use this article elsewhere? A urine pregnancy test result was negative. This is a process which repeats itself on a monthly basis and there is nothing wrong with it.
International Journal of Obstetrics and Gynaecology, 36, Her uterus was normal size with no adnexal mass or tenderness. J Pediatr Adol Gynecol. More in Pubmed Citation Related Articles. She handed him a specimen container.
This happened to me about a week before I was set to start my placebo pills and all the information I could find seemed to be pointing to a miscarriage, despite the fact that I had taken the pill very well I take the type of birth control pills where I only get a period once every 3 months.
Figure 1 Figure Following eight hours of severe lower abdominal pain with associated vomiting, the girl had apparently passed this mass per vagina earlier that morning.
After three days on Minesse, my third Gynecologist made a Pap test. Passage of products of conception after a spontaneous abortion would include the decidua and the developing embryo, although the embryo may not be visible. This content is owned by the AAFP. Symptoms of decidual cast There are plenty of individual reports of this condition on the Internet. Decidual casts have a well-known association with ectopic pregnancies. Partially necrotic endometrium showing marked decidua like change of the stroma but rather inactive cadt glands.
The double sac sign in early intrauterine pregnancy: A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.
A personal experience
Following this episode she resumed normal regular periods. Related Articles Health Benefits 31 0 January 9, You are commenting using your Facebook account. Other than such obvious cases, you may experience extreme abdominal pain as well as excessive vaginal bleeding accompanied with pain.
Next Thursday I was supposed to initiate the second Gynovin pack, instead, I traveled to a far away drugstore just to get Minesse and started to take it as it were a continuation of the Gynovin pill.
A personal experience – My decidual cast
Since day 2, I felt very tired in the afternoon, had to come home to take a nap. You are commenting using your Twitter account. However, he only recommended to take more fluids. Ectopic pregnancies are pregnancies that implant outside of the uterine cavity.
It is uncommon to see a decidual cast of the mentioned size, shape and thickness with the use of standard dose combined oral contraceptive pill. Managed to find the restrooms and once there, I noticed that it was not only a clot but rather a considerably large piece of flesh, slimy and tissue like with a particular shape.
While the physician was obtaining the history, the patient developed intense pelvic pain and excused herself to the bathroom where she passed a bloody, fleshy mass vaginally Figure 1.
This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. When an area of decidua is shed, it is called a decidual cast because it frequently comes out in the shape of the uterine cavity.
Use your account on the social network Facebook, to create a profile on BusinessPress. A healthy Menstrual Cycle. It was May, 18th, By Sunday, out of the sudden I was experiencing heavy bleeding and painful cramping, started vomiting clear fluid and almost faint while sitting in a commercial center.
The next day I rush to the gynecologist with the pictures and he said it was a decidual cast or a discharge of the uterus lining. When Do Babies Start Talking. Decidual casts are unusual though well known to gynaecologists 1. Keywords combined oral contraceptive pills, decidual cast, ectopic pregnancy, endometrial cast. SUMMARY TABLE Condition Characteristics Decidual cast Lining of the endometrium that is sloughed off in one piece, forming a cast of the uterine cavity; may be associated with ectopic pregnancy positive pregnancy test or exogenous progesterone Ectopic pregnancy Positive pregnancy test; may be associated with decidual cast Hydatidiform mole Positive pregnancy test; benign mass of abnormal cysts Products of conception Positive pregnancy test; consists of decidua and developing dexidual, although the embryo may not be visible Vaginal foreign body Negative pregnancy test; nonfleshy with a malodorous discharge.
She was prescribed Microgynon 30 micrograms combined oral contraceptive pill, standard dosage to take back to back for heavy painful periods. He was not worried by the decidual cast but rather he chose to be focused on my cyst, he even wanted to schedule a laparoscopy to see how deep the endometriosis was.
Get immediate access, anytime, anywhere. Continue reading from October 1, Previous: She was scanned later which revealed normal uterus and ovaries. Notify me of new comments via email. Drosperinone has a comparatively long excretion half-life of about 40 hours whereas that of the oestrogen, ethinyloestradiol is about 24 hours 4. There was no hepatosplenomegaly or costovertebral angle tenderness. The Internet Journal of Gynecology and Obstetrics. The endometriosis diagnosis cannot be done with just one appointment.
Published by blue chameleon. Some cysts can disappear over time. These two are the most common signs of the decidual cast, but there are more to be mentioned, just that these are much rarer. Decidual cast — a mysterious problem which is somewhat common yet it manages to terrorize women and men across the world because of its extremely gory nature. Close Enter the site.
A pelvic examination demonstrated a small amount of blood in the vault, but no cervical discharge or cervical motion tenderness. Decidual casts have been attributed to use of oral contraceptives, injectable progesterone, or an implantable progesterone delivery system Nexplanon.