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Problems about premenstrual syndrome - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3385 Questions
User :   I have a 7 year old daughter and have had 2 miscarriages and am now passing blood clots a few days before my period. I am also on a daily dose of folic acid
Doctor :   Hi
Doctor :   How can I help you ?
User :   Hi. I have a 7 year old daughter and have had 2 miscarriages and am now passing blood clots a few days before my period. I am also on a daily dose of folic acid
Doctor :   Ok
User :   What do you think could be causing these. I had a hormone check and full blood count last year and they came back normal
Doctor :   Give me one minute.
Doctor :   Ok
Doctor :   Could you let me know your age ?
User :   I am 28
Doctor :   Ok
Doctor :   Do you have pain abdomen ?
User :   I was having up until yesterday when the clotting started, I was having bad cramps a back ache
Doctor :   Ok
Doctor :   How about your menstrual discharge , was it more or less than the previous cycle ?
User :   After my expected ovulation it was a haevy creamy discharge then turned to brown a week after which was there only when i wiped, had a little in my underwear
Doctor :   Ok.
User :   My last period was about the same as the previous and lasted the same time
Doctor :   How many days did it last ?
User :   3 days
Doctor :   Do you have cramps or pain in the legs or calf muscles ?
User :   I had a few pains going down my right leg but that stopped
Doctor :   When was your lastabortion ?
Doctor :   When was your last abortion or miscarriage ?
User :   Last miscarriage was in November
Doctor :   Nov.2011.
User :   Nov 2010
Doctor :   Oh sorry, I meanty the same.
Doctor :   I would suggest that this could be due to a vried reasons.
User :   such as
Doctor :   Let me give you my Differential diagnosis : Doctor :   1. Recent dramatic weight change
Doctor :   2. Obstruction of menstrual blood. Anything that hinders or blocks the flow of menstrual blood from the uterus through the cervix and out of the vagina may lead to problems with clots, color, or thickness of menstrual blood. Benign polyps in the uterus may change the flow of blood during your period. The flow can also be slowed around the time of menopause when the cervical canal may become smaller as estrogen levels drop.
Doctor :   3. Adenomyosis or endometriosis. These related conditions occur when the tissue that forms the uterine lining is found in the wrong place. In endometriosis, this tissue develops outside of the uterus. In adenomyosis it grows in the muscle that makes up the uterine walls. Both of these conditions can lead to abnormal periods and heavy flow. This can increase the likelihood of menstrual blood problems such as clotting or thickness.
Doctor :   4. Or it could be another miscarriage .
User :   Thank you, what do you suggest i do
Doctor :   I would suggest you to immediately see a 1. Gynecologist and 2. Get an Ultrasound
Doctor :   3. Also Hormonal levels for T3,T4,TSH also.
Doctor :   Hope you have followed .
User :   Thank you. Can I suggest this to my doctor and would there be a problem of me falling pregnant again and full term
Doctor :   Did you have sexual intercourse after Nov and do you suspect it was a pregnancy ?
Doctor :   Yes you can suggest the tests do your doctor apart from the normal screening tests.
User :   I did have sexual intercourse but it was safe until I had my 2 cyles. I suspected I was as some of the symptoms I had last week were similar to the one befor
Doctor :   Did you do a Urine test ?
User :   No, I was going to wait until my period due date which is on Tuesday and see what it brought
Doctor :   That would be of much help.
Doctor :   Meanwhile have lots of 1.water
Doctor :   2.Fresh fruits and veggies
Doctor :   3. Less oily diet
Doctor :   4. Lots of jices.
User :   ok, thank you for your help
Doctor :   Tahnk you for consulting me.
Doctor :   Take care , Bye for now.
User :   bye
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