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Can Thalassemia Cause Menstrual Irregularities?

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Posted on Tue, 14 Feb 2017
Question: What affect can basic Bata Thalassemia have on a teenagers menstrual cycle . She usually has no trouble from the Thalassemia trait she carries except at 48 hrs old she required a total blood exchange. And she runs border line anemic. But her cycle is very heavy and she has 2 sometimes 3 periods a month lasting between 5 and 7 days. She was put on birth control for 3 month to see if the hormones would straighten her period out. We have a week left and there has been no change. Just wondering if her Thalassemia could be causing this problem.
doctor
Answered by Dr. Aarti Abraham (3 hours later)
Brief Answer:
As below

Detailed Answer:
Hello
Thanks for trusting us with your health concern .
Thalassemia leads to anaemia which may cause irregular cycles.
Is her ultrasound scan normal?
Hormonal tests normal?
Looking forward to hearing from you
.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (5 hours later)
The Dr hasn't done any of the testing you meantioned. She put her on birth control for 3 month to see if the hormones would regulate her cycle. She has 1 week left in the 3rd month. We have seen little to no change. She is still having several periods a month. This one has lasted 9 days so far.
doctor
Answered by Dr. Aarti Abraham (16 hours later)
Brief Answer:
As below

Detailed Answer:
Sometimes teenagers have hormonal imbalance that leads to the cycles around menarchae to be irregular, at times heavy.
But if that was the case, then she would have responded to the birth control.
I think she should have imaging first.
An ultrasound scan, and hormonal tests ( FSH, LH, TSH, Prolactin ).
Also, her latest hemoglobin levels.
The amount of bleeding that you describe is certainly not normal, and cannot be allowed to go on unchecked, given her already anaemic status.
Take care.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Can Thalassemia Cause Menstrual Irregularities?

Brief Answer: As below Detailed Answer: Hello Thanks for trusting us with your health concern . Thalassemia leads to anaemia which may cause irregular cycles. Is her ultrasound scan normal? Hormonal tests normal? Looking forward to hearing from you . Take care