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Gynaecological
May 14, 2006

I am a 47 yr old female diagnosed with HIV in 1997. My CD4 counts have been fluctuating between 500 to 850.During this period I had leucoencephalopathy which I overcame succesfully. From March 2005 my count was 1296 and now 1322. The virus has been undetectable. In this period I had CMV,also overcoming it, even though my eye sight has been affected. During 2005, fibroids were seen on my uterus and advised to have an op.Now I am going through peri menopausal , so I believe they will shrink ? What concerns me is that when I am in my permanent place of residence (because I travel a lot) I have swelling on my face every morning. Tests here have shown nothing and my sleep pattern is very disturbed when Im at home. What could I attribute this to?

Response from Dr. Wohl

I am not sure what the swelling is from. That it seems to occur only when you are home makes me wonder if you are not allergic to something in your home environment.

More remarkable is you history of PML and CMV despite high CD4 cell counts. Did these infections really occur while your CD4 was over 500?

Lastly, fibroids do tend to shrink during and following menopause as they are estrogen sensitive.

DW



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