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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bleeding Blood Clots During Periods, Lower Abdominal Pain, Swelling, Flu Like Symptoms. Treatment?

why am I bleeding blood clots so heavy during my menstrual cycle. My cycle is solid 7 days heavy during next cycle I experience spotting, lower abdominal severe spotting and swelling that has been been unusual until lately. I am a fifty year old in good health otherwise no health issues. I feel as if I have flu like symptoms including severe cramps and lower back pain across all lower back. I have been off normal menstrual cycle 4 days as of today. What do you recommend I do I am in extreme discomfort which occurs worse in and around menstrual cycle.
Wed, 23 Oct 2013
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OBGYN,  's  Response
Hi,

The commonest causes for such symptoms in your age are:
1. Fibroids: non cancerous tumors of the uterus that increase the size of the uterus and cause bleeding.
2. Dysfunctional uterine bleeding: the exact cause of this is still not known but may occur due to hormonal changes.
3. decrease in female hormone levels with increasing age that occurs around the menopausal period. Because of this ovulation does not occur and the normal endometrium [lining of the uterus that is shed as menstrual blood] does not grow in a proper fashion leading to irregular and heavy bleeding or spotting.

Having said all this, in any case it is important to rule out endometrial cancer that may also present with similar picture.
If a patient like you walks in my clinic, I examine her to look for any irregularities in the uterus, do an ultrasonography and look for fibroids and an endometrial biopsy to rule out any abnormality especially cancer. So i suggest you see a gynecologist and discuss all this with her.
If you are having pain now, a simple painkiller like aspirin should provide you relief.

Hope I was able to help you.
Thanks for using Health Care Magic.
Dr. Madhuri Bagde
MBBS, MD Obstetrics and Gynecology.
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Bleeding Blood Clots During Periods, Lower Abdominal Pain, Swelling, Flu Like Symptoms. Treatment?

Hi, The commonest causes for such symptoms in your age are: 1. Fibroids: non cancerous tumors of the uterus that increase the size of the uterus and cause bleeding. 2. Dysfunctional uterine bleeding: the exact cause of this is still not known but may occur due to hormonal changes. 3. decrease in female hormone levels with increasing age that occurs around the menopausal period. Because of this ovulation does not occur and the normal endometrium [lining of the uterus that is shed as menstrual blood] does not grow in a proper fashion leading to irregular and heavy bleeding or spotting. Having said all this, in any case it is important to rule out endometrial cancer that may also present with similar picture. If a patient like you walks in my clinic, I examine her to look for any irregularities in the uterus, do an ultrasonography and look for fibroids and an endometrial biopsy to rule out any abnormality especially cancer. So i suggest you see a gynecologist and discuss all this with her. If you are having pain now, a simple painkiller like aspirin should provide you relief. Hope I was able to help you. Thanks for using Health Care Magic. Dr. Madhuri Bagde MBBS, MD Obstetrics and Gynecology.