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What Causes Severe Vaginal Spotting And Bleeding After Taking Pause?
Question: Patient Name: Dr. XXXXXXX 30 years, Female .
Chief complaint –
Initially spotting for 7 days ; Bleeding for 13+ days (Moderate Flow)
Have taken Tablet Pause(Tranexamic Acid 500mg) Thrice daily for 1 day.
Bleeding completely stopped for 2 days and then started again.
Have history of Benign Intracranial Hypertension + CSF Rhinorrhea induced after taking OC pills.
Had an episode of Menorrhagia in Feb 2015 for which OC pills were taken for 1 cycle which lead to ICT followed by CSF Rhinorrhea.
Was operated for CSF Rhinorrhea 4 months back.
Currently not on any medications.
Present HemoGlobin is 8.
USG scan shows everything normal.
Please suggest how to stop the bleeding.
Chief complaint –
Initially spotting for 7 days ; Bleeding for 13+ days (Moderate Flow)
Have taken Tablet Pause(Tranexamic Acid 500mg) Thrice daily for 1 day.
Bleeding completely stopped for 2 days and then started again.
Have history of Benign Intracranial Hypertension + CSF Rhinorrhea induced after taking OC pills.
Had an episode of Menorrhagia in Feb 2015 for which OC pills were taken for 1 cycle which lead to ICT followed by CSF Rhinorrhea.
Was operated for CSF Rhinorrhea 4 months back.
Currently not on any medications.
Present HemoGlobin is 8.
USG scan shows everything normal.
Please suggest how to stop the bleeding.
Brief Answer:
Transvaginal ultrasound advised
Detailed Answer:
Hello dear, thanks for trusting health care magic
I have seen the attached report and since all major reports are normal except low vitamin D and low indices of iron I would suggest a transvaginal ultrasound from an experienced radiologist
She cannot be given hormones due to previous history
So tranexemic acid plus ethamsylate will be a good option for her.
Take this combination for 3 times a day along with rest.
Get the ultrasound done and then we can discuss further
Regards
Dr Manisha
Transvaginal ultrasound advised
Detailed Answer:
Hello dear, thanks for trusting health care magic
I have seen the attached report and since all major reports are normal except low vitamin D and low indices of iron I would suggest a transvaginal ultrasound from an experienced radiologist
She cannot be given hormones due to previous history
So tranexemic acid plus ethamsylate will be a good option for her.
Take this combination for 3 times a day along with rest.
Get the ultrasound done and then we can discuss further
Regards
Dr Manisha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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