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What Causes Prolonged Period Bleeding With Severe Cramps?

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Posted on Thu, 26 Jun 2014
Question: I am 55 years old and have a period off and on the past year. however this time my period is lasting OVER a month now with severe cramps the entire time. Some days the bleeding is quite heavy and large clots, other days light spotting. what is going on?
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Answered by Dr. Muhammed Aslam (3 hours later)
Brief Answer:
It needs early medical atention

Detailed Answer:
Hello dear,welcome to HealthcareMagic forum.
I am Dr Aslam here to help you.

Some menstrual irregularity is normal during transition to menopause.But bleeding for over a month,that too with passing clots(suggest quite heavy bleeding) needs a detailed gynaecologic evaluation without delay.Most of the times,this reflects the hormonal imbalance in and around menopause,and can be treated with hormonal pills for a few months,along with hematinics.But before this,definitely we need to rule out any significant uterine pathology.
So I advise you kindly see a gynaecologist for further evaluation and management.After a gynaec examination,you may be asked for investigations like blood tests,USG abdomen and D&C followed by histopathology.
Meanwhile,you start some hematinic tablets to compensate for ongoing blood loss,and take enough green leafy veges,fruits and proteins in your diet.

Hope I have answered your query.If you have further questions,I will be happy to help.
Wishing for a faster cure,Thank you.
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. Raju A.T
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Answered by
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Dr. Muhammed Aslam

General & Family Physician

Practicing since :2010

Answered : 987 Questions

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What Causes Prolonged Period Bleeding With Severe Cramps?

Brief Answer: It needs early medical atention Detailed Answer: Hello dear,welcome to HealthcareMagic forum. I am Dr Aslam here to help you. Some menstrual irregularity is normal during transition to menopause.But bleeding for over a month,that too with passing clots(suggest quite heavy bleeding) needs a detailed gynaecologic evaluation without delay.Most of the times,this reflects the hormonal imbalance in and around menopause,and can be treated with hormonal pills for a few months,along with hematinics.But before this,definitely we need to rule out any significant uterine pathology. So I advise you kindly see a gynaecologist for further evaluation and management.After a gynaec examination,you may be asked for investigations like blood tests,USG abdomen and D&C followed by histopathology. Meanwhile,you start some hematinic tablets to compensate for ongoing blood loss,and take enough green leafy veges,fruits and proteins in your diet. Hope I have answered your query.If you have further questions,I will be happy to help. Wishing for a faster cure,Thank you.