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What Causes Heavy Menstrual Bleeding?

Posted on Fri, 11 Jul 2014

Question: My 26 yr old diabetic daughter, 350+ pounds, went from years of light spotting type periods to severe bleeding, gushing in the morning, and peeing out tissue and wiping tissue substance. No pain or cramping, for three months. ER told her she was fine 6 weeks ago, did a vaginal ultrasound. She does have at least one cyst on an ovary, dxed a couple of years ago. Mom had endometriosis, very severe and had hysto at age 31. Mom only had one child and several miscarraiges. Daughter soaks through pads, but not more than 4 an hour, which was the bench mark the ER told us to look for. Daughter is bleeding 3 out of 4 weeks varying between spotting for a week or more then the heavy bleeding for at least a day sometimes more in the three week period.

Answered by Dr. Rhea Chanda (36 minutes later)

Brief Answer:
several possibilities

Detailed Answer:
Hello,
The history is complicated. There can be several possibilities. At age 26, the reasons for menstrual irregularities can be either pathological or hormonal. Both causes have be identified with blood tests and ultrasound. Ultrasound can rule out ovarian cysts,fibroids polyp, adenomyosis. Hormone tests can rule out pcos, thyroid dysfunction, DUB etc.
In her case, since she is diabetic and over weight i would like to rule out thyroid and polycystic ovaries first. Endometrioisis is a definite possibility since it can run in families. She may need a D/C and hormonal medication.

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