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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Prolonged Menstrual Bleeding

I am 45 years . I have a problem regarding heavy bleeding since september, 2012 I have consulted gyncolgist she has done DNC on 14/2/2013 and advised harmonal treatment. Now i have periods more than 15 days but not so heavy bleeding but sometimes clots have seen. Duration of the period will be minimum 15 days. I am very upset and fed up from this problem Kindly advise me
Wed, 20 Jul 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern
Following are the cause of prolonged menstrual bleeding:
Endometrial dysplasia and cancer (most common)
Adenomyosis, PCOS, bleeding disorder and cervical cancer/dysplasia.
I advice to consult the gynecologist and go for following investigations:
USG scan, Endometrial biopsy, PAP smear, reproductive hormone analysis, BT, CT, APTT.
Gynecologist prescribed following medicine and advice:
Tablet tranexaemic acid or vitamin K to reduce bleeding.
Provera shot, or long acting progesterone preparation/iud.
Take iron supplements and heamatinics.
Take high protein diet and fresh fruit.
If still not responds to above advise, endometrial ablation should be advisable.
Hope this may help you
Best regards
Dr. Sagar
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Suggest Treatment For Prolonged Menstrual Bleeding

Hello dear Understand your concern Following are the cause of prolonged menstrual bleeding: Endometrial dysplasia and cancer (most common) Adenomyosis, PCOS, bleeding disorder and cervical cancer/dysplasia. I advice to consult the gynecologist and go for following investigations: USG scan, Endometrial biopsy, PAP smear, reproductive hormone analysis, BT, CT, APTT. Gynecologist prescribed following medicine and advice: Tablet tranexaemic acid or vitamin K to reduce bleeding. Provera shot, or long acting progesterone preparation/iud. Take iron supplements and heamatinics. Take high protein diet and fresh fruit. If still not responds to above advise, endometrial ablation should be advisable. Hope this may help you Best regards Dr. Sagar