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Had irregular periods. Having heavy bleeding with clots. Taking duphaston 5mg. Is it normal?

Hi. I m Dr.Shruti, 24yrs old. History of previous ilness :My periods have been irregular since menarche . Have a past history of using OC pills,for regulation of menses,for 2-3 months for almost 5 yrs on and off.Also,last year i d taken Levenogestrel 150mg,single dose for 4 months. Presenting complaints: I had bled from january 10th to january 31st 2013,passed clots,heavy bleeding. USG abdomen & pelvis revealed an endometrial thickness of 11.9mm. I was put on Duphaston 5mg BD for the 1st 10 days,starting on feb 1st,and then on OD,for the next 10 days. While on Duphaston,i ve had spotting all along,but my concern is that i ve started to have clots for the past 3 days,and i change 2 pads daily.I still have 3 more days of Duphaston to go.Is it normal to have period during progestogen intake??
Asked On : Wed, 20 Feb 2013
Answers:  1 Views:  198
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OBGYN 's  Response
Hello Shruti,
Thanks for your query. You cycle pattern are more like DUB(DYSFUNCTIONAL UTERINE BLEEDING) type. If the dose of progesterone is less, then proabbly you will have BREAK-THROUGH bleeding, which you are having now. You have not mentioned if you are married or not, if you are not planning any pregnancy you can safely take Progesterone( Norethesterone) tablets in your second half of cycle Day 12 for 10 days.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Dr Arif
Answered: Thu, 21 Feb 2013
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