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Getting long menstrual periods. What's wrong?

my friend was bleeding for 16 days and she thought that was her period and most of her blood gone and her hemoglobin is 2 and she made 2 analysis and it wasn t anything wrong in it and we didn t know till now whats wrong with her ,so could you please help me and tell me is that a cancer or tumor in the uterus or what????
Asked On : Wed, 28 Nov 2012
Answers:  1 Views:  16
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OBGYN 's  Response
Mar 2014
Hello and welcome,

There are a few causes of such type of bleeding. The commonest reason is hormonal imbalances, tumors of uterus called fibroids, problems with the blood clotting system and a condition called dysfunctional uterine bleeding.

As of now, all of these need to be ruled out step by step. The first is to get an evaluation by a gynecologist and an ultrasound to see if the uterus is normal. If this has already been done then tests for blood clotting must be done. The next step is an endometrial biopsy or a test called hysteroscopy where the endometrium is visualised with the help of a camera.

If they are normal then it is most likely dysfunctional bleeding without a cause which can be treated by hormones, coagulating the uterine lining by heat or cold [ endometrial ablation ] or removing the uterus [ hysterectomy] depending upon the case history as well as findings.

As her hemoglobin is 2, she will need blood transfusion. So see a doctor and discuss all these issues. She will be fine then.

Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
Answered: Sat, 26 Jul 2014
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