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Having Bad Cramps And Abnormal Bleeding. What Is Causing This?
Question: I started having my periods in the fifth grade. I know I have abnormal bleeding. Multiple times I have fainted on my period. I consistently soak tampons within an hour. I also have extremely bad cramps at time I can't move, just wait for the cramps to stop. I can't really eat during my periods either. The women in my family are know for heavy period, but nothing like mine. I'm 18 and sexually active but I'm always safe. I have been on the pill before. What could possible be wrong?
Hello,
Thanks for posting your query.
You are having heavy and prolonged vaginal bleeding, a menstrual disorder called Menorrhagia.
There are many cause for having such heavy bleeding commonest being:-
-Female hormone imbalance,
-Uterine fibroids,
-Disorders of the uterine lining,
-Uterine,ovarian or cervical cancer,
-Hypothyroidism,
-Endometrial hyperplasia,
-Dysfunctional uterine bleeding, to name a few.
In your case it is more likely that the bleeding is due to Ovarian cyst,fibroids and endometrial hyperplasia(increased thickness of endometrial lining).
For diagnosis, you need to have an ultrasound scan of your lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), and androgen profile can be done.
The management of this condition would require treatment with progesterone to stabilize the endometrium and reduce bleeding along with hemostatic agents like ethamsylate or tranexaemic acid . Oral contraceptive pills (OCPs) suppress endometrial development, reestablish predictable bleeding patterns, decrease menstrual flow, and lower the risk of iron deficiency anemia.
You might consult your OB-GYN who can do the needed tests and initiate the proper therapy.
Meanwhile start taking iron supplements to combat excessive blood loss from your body.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
Thanks for posting your query.
You are having heavy and prolonged vaginal bleeding, a menstrual disorder called Menorrhagia.
There are many cause for having such heavy bleeding commonest being:-
-Female hormone imbalance,
-Uterine fibroids,
-Disorders of the uterine lining,
-Uterine,ovarian or cervical cancer,
-Hypothyroidism,
-Endometrial hyperplasia,
-Dysfunctional uterine bleeding, to name a few.
In your case it is more likely that the bleeding is due to Ovarian cyst,fibroids and endometrial hyperplasia(increased thickness of endometrial lining).
For diagnosis, you need to have an ultrasound scan of your lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), and androgen profile can be done.
The management of this condition would require treatment with progesterone to stabilize the endometrium and reduce bleeding along with hemostatic agents like ethamsylate or tranexaemic acid . Oral contraceptive pills (OCPs) suppress endometrial development, reestablish predictable bleeding patterns, decrease menstrual flow, and lower the risk of iron deficiency anemia.
You might consult your OB-GYN who can do the needed tests and initiate the proper therapy.
Meanwhile start taking iron supplements to combat excessive blood loss from your body.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
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
Answered by
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