To the Editor: A 25-year-old nulliparous woman was admittedto our hospital for recurrent menometrorrhagia and secondaryanemia. She had received a renal transplant for infantile polycystickidney associated with congenital hepatic fibrosis that wascomplicated by hepatitis C, but for two years she had been undergoinghemodialysis for chronic renal insufficiency after numerousepisodes of transplant rejection. Since starting dialysis, shehad had frequent episodes of menometrorrhagia, which was treatedwith oral progestins with partial success.
At admission, the patient's hematocrit was 17.4 percent, andthe hemoglobin concentration was 5.9 g per deciliter. Transvaginalultrasonography showed a dyshomogeneous endometrium, . . . [Full Text of this Article]
References
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