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Heavy painful periods after tubectomy post c-section delivery - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello
Doctor :   Hi
Doctor :   How can I help you
User :   good morning
Doctor :   Good Morning
User :   actually i want to discuss a problem related to gyno , will u be able to help me doc?
Doctor :   are you there ?
Doctor :   yes
User :   I am 32 married with two kids , my wife is 24 she had undergone a tubectomy after the second cesarian
Doctor :   ok
User :   the problem is her periods gets delays by at least a week every month , and has severe bleed and untolrable pain in the abdomen
User :   whenever she gets pain she takes a priscribed medicene [cyclopham] which used to reduce the pain, but nowadays that too is not working and the bleed i heavy
User :   you there doc?
Doctor :   very much
Doctor :   yes
Doctor :   reading your history
User :   ok
Doctor :   Can I start my questions
User :   please
Doctor :   When was the Cesear done
User :   the first was in Nov 2005 and the second in Aug 2007
Doctor :   So do you mean that she get regular periods but it is 35 day cycle, is it?
User :   yes doctor earlier sometimes it used to get delayed by there wa no pain but it is not the same now
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependants: Yes/No
User :   24 years ,house wife, bangalore, married 02 dependents
Doctor :   Do you ever have bleeding in between the periods?
User :   recently there was , but very mild , noticed it after intercourse
Doctor :   How many days she bleeds and how many pads do use during periods per day? Does she see clots during periods?
User :   06- 7 days , initially 10-12 pads in one day { i.e. yesterdays condition }
Doctor :   Does the pain start with the period or before the periods start
User :   with the period
Doctor :   Does she complain of pain or bleeding during intercourse every time?
User :   no , there is no pain at all during or post intercourse nor any sort of bleeding ,
Doctor :   Does she notice any discharge? If yes what is the color and is it foul smelling?
User :   there is a dischagre of some white gel , and it smells normal
Doctor :   any itching and redness at her private parts? any fever or pelvic dull pain during urination or at stools?
User :   no doctor
Doctor :   Does this sort of pain start immediately after Tubectomy
User :   not exactly aftr tubectomy , i think 5-6 months after tubectomy
Doctor :   Did you see the doctor or using any medicine apart from Cyclpam
User :   no doctor ?
Doctor :   Ws the Ultrasound done?
Doctor :   and the Urine tests?
User :   no doctor? only recent in the past 2 days she is going through pain, we have not done any tests as of now
Doctor :   How much is the white thick discharge?
User :   its normal as required during intercourse
Doctor :   ok
Doctor :   This condition is called Dysmenorrhoea
Doctor :   sometimes it has no cause called as primary dysmenorrhoea where in normal pain killers are started before the period actually occurs
Doctor :   Secondary Dysmeonnorhoes has this pain but with some underlying cause
Doctor :   So the next step would be to find out the cause with physical examination and few investigations like
Doctor :   Ultrasound and Urine routine
Doctor :   Let her take IBUGESIC 400 tab and also Rantac 150 mg along with it twice daily.
Doctor :   for two days
Doctor :   Hello are you there?
User :   yes i am
Doctor :   are you following
Doctor :   what i said till now
User :   i have understood every bit
Doctor :   Take the tablet now and get the Ultrasound pelvis and Urine routine
Doctor :   The cyclopam has lost the effect now
Doctor :   and not working
Doctor :   however it is also a good choice in mild pain
User :   now in the sense immidiately after having tab do ihave to take her to Ultrasound pelvis and Urine routine
Doctor :   Please fill this form I send, While I type the necessary information, and do inform me when done.
Doctor :   The tablet releives of pain and the Ultrasound to see if any underlying cause is there
Doctor :   Ask for Ultrasound pelvis - Pain during mensturation
User :   ok
Doctor :   Keep the bladder full before ultrasound
Doctor :   You can go to our centres
Doctor :   in bangalore
Doctor :   if you are in
Doctor :   Where are you now?
User :   ya i m in bangalore
Doctor :   Which part of Bangalore
User :   J.P nagar
Doctor :   Please confirm your details and One of our doctors will get back to you soon with all the relevant details
Doctor :   near J P Nagar
Doctor :   Get the routine Urinanalyis
Doctor :   too
User :   yeah
Doctor :   If there is no cause left in
Doctor :   ultrasound then you have to instruct your wife
Doctor :   that this pain remains for sometime at every period
User :   ok
Doctor :   before the pain comes she can take Ibugesic 200
Doctor :   ok
Doctor :   Come on to the chat after the report
Doctor :   i shall give you enough information
User :   ok doctor
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
User :   it was really nice experience talking
Doctor :   Thanks bye
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