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D&C and Subsequent Brain Hemorrhage: Potential Link?


Question
I am writing this on behalf of my mom, who passed away suddenly on December 4th from a brain hemorrhage. My mom was a healthy 63-year old woman. She has 4 children - they are 41, 38, 33 & 23. She had her last child at age 40. She began menopause at age 45. At age 59, she began menstruating again. Her gyno performed a D&C and a month later, she experienced heavy bleeding from her nose, which did subside. Four years later (November 4, 2004) the same gyno performed another D&C, since she began menstruating again in October 2004. She died from a massave brain hemorrhage a month after her D&C on December 4th. Is there any connection here? Could she have been administered something with estrogen during the D&C that caused complications? Possbily blot clotting? FYI, her mother died of a brain hemmorage also at age 65. Could her cerebral arteries of been too weak to pump the blood that comes from menstration at ovulation in early December? We are consumed with grief and have many questions we need answered. Any guidance you can provide would be greatly appreciated. I await your response.

Answer
Once your mother reached menopause (at age 45) she did not ovulate any longer. After menopause is reached, any bleeding is considered abnormal and must be evaluated. The gold standard for this evaluation is a D&C which merely samples tissue from the endometrial wall (the wall of the uterus). No hormones (estrogen or progesterone) are given during the procedure. The D&C would have no relation to any bleeding from her nose or to any brain hemorrhage. She may have developed an aneurism in her brain or she may have had some reaction to the anesthesia used during the surgery. However, the reaction would have been immediate and not a month later. I do not think that the D&C had anything to do with her subsequent problems.