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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Prolonged Vaginal Bleeding During Menstruation

three biopsies once in six months the past one and a half years. abnormal heavy bleeding for four years. last one year lighter but still monly regular period bleeding.this month prolonged spottong . have a diagnosis of focal glandular crowding proliferative endometrium complex hyperplasia WITHOUT atypia. Don t want to do progestin or mirena (horror stories abt side effects) considering Hyst but keeping ovaries to stop anxiety about it developing malignant or having already turned so and missing spot in biopsy. age 45 two kids. have had CRVO in one eye recur twice in past three years so concerned about surgery risks ,blood clots etc . too. High cholesterol. overweight. but working on diet/lifestyle. Your opinion thanks?
Thu, 7 May 2015
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General & Family Physician,  's  Response
Hi,
I understand your concern.
The glandular hyperplsia is a hormonal problem with excessive estrogen & comparatively less progesteron to control the glandular hyperplasia. It is common in overweight /high cholestrerol patients.
I your case it is already diagnosed.
Treatment consists of a cyclical or continues progestin preparation ( IUD /pills)
-You seem to have phobia about Mirena.. still there is no harm in giving it a trial
- Oral pills continuous or cyclical is another option of same drug.
- The third option is hysterectomy.
Thanks.
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Suggest Treatment For Prolonged Vaginal Bleeding During Menstruation

Hi, I understand your concern. The glandular hyperplsia is a hormonal problem with excessive estrogen & comparatively less progesteron to control the glandular hyperplasia. It is common in overweight /high cholestrerol patients. I your case it is already diagnosed. Treatment consists of a cyclical or continues progestin preparation ( IUD /pills) -You seem to have phobia about Mirena.. still there is no harm in giving it a trial - Oral pills continuous or cyclical is another option of same drug. - The third option is hysterectomy. Thanks.