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What Causes Heavy Bleeding During The Menstruation?
Question: My mother XXXXXXX XXXXXXX is suffering from heavy mesturation or blood flow in periods.grandmother and my mothers sister had cancer. So doctor suggested of certain tests.reports are attached below.Doctors suggest of surgery nd removal of uterus and ovaries.please tell me is it really required? Are any other precautions required?
Brief Answer:
Endometrial biopsy should be done
Detailed Answer:
Hi XXXX, I have gone through your question and understand your concerns.I have reviewed all the reports of your mother and they are completely normal, except the ultrasound which shows a small 2 cm fibroid in the posterior uterine wall.This small fibroid is not the cause for the heavy bleeding.
Heavy bleeding during the menstruation is due to many causes like hormonal disturbances, dysfunctional uterine bleeding, bleeding disorders, endometrial hyperplasia or endometrial cancer.Blood and hormone reports are normal. To rule out dysfunctional uterine bleeding, endometrial hyperplasia or endometrial cancer an endometrial (uterine lining) biopsy should be done and examined histopathologically. It is a mandatory investigation in a female of your mother's age with such symptoms and history of cancer in family.
These diagnosis should be ruled out before performing any surgery because if cancer is there, then only removal of uterus and ovaries is not the complete treatment.
Moreover, if only dysfunctional uterine bleeding or endometrial hyperplasia is there, then there is no need of any surgery in the first go, initially medications are tried and if they fail, then surgery is done.
Therefore, I would suggest you to get her endometrial biopsy done before any such procedure.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma.
Endometrial biopsy should be done
Detailed Answer:
Hi XXXX, I have gone through your question and understand your concerns.I have reviewed all the reports of your mother and they are completely normal, except the ultrasound which shows a small 2 cm fibroid in the posterior uterine wall.This small fibroid is not the cause for the heavy bleeding.
Heavy bleeding during the menstruation is due to many causes like hormonal disturbances, dysfunctional uterine bleeding, bleeding disorders, endometrial hyperplasia or endometrial cancer.Blood and hormone reports are normal. To rule out dysfunctional uterine bleeding, endometrial hyperplasia or endometrial cancer an endometrial (uterine lining) biopsy should be done and examined histopathologically. It is a mandatory investigation in a female of your mother's age with such symptoms and history of cancer in family.
These diagnosis should be ruled out before performing any surgery because if cancer is there, then only removal of uterus and ovaries is not the complete treatment.
Moreover, if only dysfunctional uterine bleeding or endometrial hyperplasia is there, then there is no need of any surgery in the first go, initially medications are tried and if they fail, then surgery is done.
Therefore, I would suggest you to get her endometrial biopsy done before any such procedure.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
CA125 is report for cancer? Is it true? And where can we get this biopsy done? Does it require any surgery?
Brief Answer:
You can get it done by a OBGYN specialist
Detailed Answer:
Hi XXXX, thanks for responding. Yes, CA-125 is done to detect the ovarian cancer, however it is normal in your mother's case.
Endometrial biopsy is a small minor procedure which is done as an outpatient procedure and do not require any major surgery. You can get it done by any OBGYN specialist.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma
You can get it done by a OBGYN specialist
Detailed Answer:
Hi XXXX, thanks for responding. Yes, CA-125 is done to detect the ovarian cancer, however it is normal in your mother's case.
Endometrial biopsy is a small minor procedure which is done as an outpatient procedure and do not require any major surgery. You can get it done by any OBGYN specialist.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma
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
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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