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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Can After 2 C Section Lead To Severe Bleeding For Whole Month?

I've had 2 csections, my first one was a emergency,my second was for safety,my problem is my son is now 20 months old and I'm still bleeding and having horrible cramps and nausea. I probably go about 7 days in a month without bleeding that's it. My doctors have done uktrasounds and claim there's nothing wrong,they've put me on birth control pills and more recently have put in the mirena. I know this isnt normal and they are treating it like no big deal. Not sure what this could mean and how to stop it. Please help.
Wed, 16 Apr 2014
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OBGYN,  's  Response
Hello and welcome to HCM,     
I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries.

I understand the problem. The bleeding pattern is not an unusual one, however if it began just after the C section then it is unusual.
Mirena also causes irregular bleeding. Hormonal imbalances like thyroid dysfunction and raised estradiol will also produce bleeding.

If you had been in my clinic, A more detailed history and if ultrasound is normal then hormone testing [thyroid and estradiol, E3 ] need to be evaluated. A, D and C or hysteroscopy can be then undertaken for a biopsy of the endometrium to see if there is any abnormality or hormonal effect on the uterine lining.
After this proper treatment can be started.

Hope this was helpful.
Feel free to ask any further queries and I will be happy to help.
Thanks for using HCM.     
Have a good day.
Dr Nilajkumar Bagde          
Consultant Obstetrics and Gynecology
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Can After 2 C Section Lead To Severe Bleeding For Whole Month?

Hello and welcome to HCM, I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries. I understand the problem. The bleeding pattern is not an unusual one, however if it began just after the C section then it is unusual. Mirena also causes irregular bleeding. Hormonal imbalances like thyroid dysfunction and raised estradiol will also produce bleeding. If you had been in my clinic, A more detailed history and if ultrasound is normal then hormone testing [thyroid and estradiol, E3 ] need to be evaluated. A, D and C or hysteroscopy can be then undertaken for a biopsy of the endometrium to see if there is any abnormality or hormonal effect on the uterine lining. After this proper treatment can be started. Hope this was helpful. Feel free to ask any further queries and I will be happy to help. Thanks for using HCM. Have a good day. Dr Nilajkumar Bagde Consultant Obstetrics and Gynecology