Uterine bleeding in a postmenopausal women following epidural triamcinolone acetonide injection: A case report. |
Won Ki Yoon, Jung Sam Lee |
Department of Anesthesiology and Pain Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. nonpain@paran.com |
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Abstract |
Epidural steroid therapy for herpes zoster associated pain is known to be effective with rare complications. However, certain amount of epidurally-injected steroid may be absorbed and affect endocrinological system. Specially, triamcinolone acetonide has high affinity for progesterone receptors and may influence mensturation. We report a case of a postmenopausal women treated with 40 mg of epidural triamcinolone acetonide twice with a two week interval and followed a large amount of uterine bleeding. |
Key Words:
Postmenopausal bleeding; Progesterone receptor; Triamcinolone acetonide |