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Pills to slow down bleeding, fibroid, anemia. Possibilities?

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General & Family Physician
Practicing since : 2007
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hi dr just been put on the combined pill to slow down my bleeding. have a fibroid which is 6cm. slight anemia caused by bleeding, im only 34 and would like another child next year. dr put my on the pill so i can finish getting my degree, then wonts me to come off it to try for a baby! just wondering does the pill work, will it reduce my bleeding?
Posted Wed, 18 Apr 2012 in Vaginal and Uterus Health
Answered by Dr. Mohammed Tauseef 55 minutes later

Thanks for the Query.

I Would like to know few more things, which would help me in suggesting you better,
1.) Since how long do you have this Problem?
2.) Are your Periods Prolonged?
3.) Do you have Pelvic Pain?
4.) Do you Pass Urine frequently?
5.) Do you get backache?

Uterine Fibroids also called Fibromyomas are non-cancerous growths that appear during childbearing years and rarely require treatment only when they cause discomfort, sharp Pelvic pains or Profuse Menstrual Bleeding.

You have been prescribed Oral Contraceptives (OCs) which will definitely help you control your menstrual bleeding, but they don't reduce fibroid size. Fibroids grow under the Hormonal Influence and do not interfere with your fertility and don't pose any problem in you conceiving and they gradually shrink when you attain Menopause.

OCs will control your Bleeding, and you will have to stop taking them a week prior when you plan to conceive. Speak to your Doctor, your treating doctor will guide you about this.

Stick to your treatment plan and schedule regular follow up with your Gynecologist, so that she can do a Physical examination, Ultrasound scan and if necessary Hysteroscopy to know the size of fibroids or if there is any new growth.

If they are not responding to medicines and are still symptomatic, your Doctor may try with other hormonal drugs. If they are resistant to them also, then she might ask you to conceive. After the delivery, she might do any of the following surgical procedures to remove them:
1.) Myomectomy, that is removal of the Fibroid either through Open abdominal surgery, Laparoscopically or Hysteroscopically.
2.) tissue.
3.) Burning it using heat or Microwave energy.

Your treating doctor will know which procedure will suit you better if at all he/she considers it necessary.

Since you are anemic, eat healthy nutritious balanced diet which should include fresh fruits and XXXXXXX leafy vegetables. Exercise regularly and maintain a healthy weight. Avoid stress and Practice relaxation techniques like yoga and meditation.

Hope I have answered your Query, I will be available to answer your follow up Queries.

Wish you Good Health.

Take Care.
Above answer was peer-reviewed by
Follow-up: Pills to slow down bleeding, fibroid, anemia. Possibilities? 1 hour later
my really heavy bleeding started a year ago. found 1 fibroid 2 years ago it has grown in the last year, which has caused this heavy bleeding, tried blood clotting tablets but they made me sick, so have just been trying to put up with the bleeding but cant any more. yes i do urinate more especially when having a period. used to get a lot of pain but for the last 2 months the bleeding has been heavy i have had no pain. dr has told me to try the pill with no brakes for 3 months to see if they help. also forgot to say my period lasts for 7 days very heavy for 3! hope the pill does reduce the bleeding as i am worried about going on my holiday.
Answered by Dr. Mohammed Tauseef 10 hours later

Thank You for Writing Back.

Your History clearly points to the Uterine Fibroids and it is absolutely treatable and wont cause any hindrance for you to conceive.

There is no need for you to put up with the pain and heavy bleeding while you have the availability of Doctors and Medicines. You can enjoy your life as others do and after all it's your life and you have the right.

If you can't tolerate Hemostatics, kindly do not take it.

You can continue with the Oral Contraceptive Pills as directed by your Doctor, stick to your treatment plan and go for regular follow up. This will definitely help you.

I would like to tell you few things here:

1.) Just follow the lifestyle changes which I had suggested you earlier.

2.) Schedule your regular check up, follow the orders of your treating Doctor and work along with him/her accordingly.

3.) Learn more about this condition, this will help you stick to your treatment plan and will help you understand your condition better, thereby helping you stick to your treatment.

I Wish you very Good Health.

Take Care.
Above answer was peer-reviewed by
Follow-up: Pills to slow down bleeding, fibroid, anemia. Possibilities? 18 days later
have been on the pill (celist) for 14 days. started on the 5th of July, my period was due on the 9th of July. this pill delayed my period until the 12th of july, been bleeding ever since with mild cramping pains. Started of light bleed but seems to be getting a little bit more with a few small clots! just wondering if this is normal and how long will it be before it settles down? and is it to do with my fibroid? also breast are sore and i now feel hormonal! went on this pill to control bleeding from fibriod and yes the bleeding is not as heavy as my normal periods just longer as it is 9 days today and only the last 3 days with cramping pains. I am really worried as im going on holiday on the 4 th of August and dont want to be on a period for this. XXXXXXX
Answered by Dr. Mohammed Tauseef 4 hours later

Thank you for Writing Back.

Celist is known to cause, longer, more regular periods, Breast tenderness. It is not related to your Fibroids.

You are passing clots as a result of Hormonal Imbalance, during which Uterine wall becomes thick, because of which you pass more clots. Not to worry as you may experience these symptoms for 1 to 2 weeks.

If they get Prolonged, it would be better to see a Gynecologist so that she may examine you and rule out the exact cause for Passing of clots.

When the Cramps are severe you can apply heat pads and also take an anti spasmodic after speaking to your Doctor.

Hope this answers your query.

Wish you Good Health.

Take Care.
Above answer was peer-reviewed by
Follow-up: Pills to slow down bleeding, fibroid, anemia. Possibilities? 44 minutes later
thank you, my main concern was how long should this period last? am i bleeding because i didnt take the pill on day 1 of my normal period date? DR told me to take this pill for 3 months without a break, should the break through bleeding stop within 2 weeks. Bleeding not really heavy just inconvient! my only concern is my holiday which is in 2 weeks. thanks XXXXXXX
Answered by Dr. Mohammed Tauseef 24 minutes later

Good to hear from you again.

Breakthrough Bleeding normally happens for 5 days to maximum 2 weeks. You can just wait for them to stop on their own since they are not heavy. The duration of bleeding varies from person to person and also the severity of Hormonal Imbalance.

The bleeding is not related to you taking the pill after 1st day of your Period.

If they don't stop, you can speak to your Doctor and start taking the pill as usual until your Holiday is over.

Hope this answers your Query.

Wish you Good Health.
Above answer was peer-reviewed by
Follow-up: Pills to slow down bleeding, fibroid, anemia. Possibilities? 53 days later
Hi, again just another question following on from the others listed above. have had bleeding all the way through except for a week on the 3 months b2b, that i have been on this pill (not heavy)! doctor told me to have a 7 day break, stopped the pill last tuesday and have had the worse bleeding ever(and im a bleeder with this fibroid) saturday flooded twice early hrs of the morning. very scarey! i dont want to go back on the pill as it has made my problem worse. my question is how long should i bleed for now iv have stopped on day 5 from stopping the pill and worked out my normal period would have been around the same date as now. having plenty of clots but the flow (dare i say) has slowed down, i want to know could i flood again as i am a bit worried! and with a fibroid could i bleed for weeks? going to see gp in the week and i am going to see about other treatments for this fibroid as i went on pill to reduce the amount of bleeding that i was having from my periods, want to stop the pill as at least on a normal period only bleed for 1 week, with 3 weeks off!
Answered by Dr. Mohammed Tauseef 12 hours later

Good to hear from you once again.

After the Pill is stopped, the withdrawal bleeding lasts for 5 days to two weeks but in your case, since you have a Fibroid, it causes prolonged menstrual bleeding for a week to 3 weeks along with passage of clots.

I would suggest don't start back on the pill until your Doctor confirms it, go visit your Doctor so that he/she can examine you once again and thinks of other treatment options in your case including surgical options which I have mentioned in my first reply. Until the Fibroid is removed there are chances that you may flood again and again.

Kindly don't wait for anything, see your Doctor at the earliest as constant bleeding may make you anemic and cause difficulty conceiving.

Wish you all the very best and very Good Health.

Take Care.

Best Regards,
Dr. Mohammed Tauseef.
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