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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Thick Endometrium And Heavy Bleeding

06/10/2015 BIOPSY CMCH VELLORE 39395/15 Endometrium with progesterone effect, no evidence of hyperplasia or malignancy,      curettings.      06/10/2015 CYTOLOGY ROUTINE SMEARS P15-17349 Blood stained thinprep cervical smear with      inflammation, negative for malignant cells.      05/10/2015 TRANSVAGINAL SCAN : Uterus measuring 10.3 X 6.3 cm; Endometrial thickness: 7.5 mm;      Hetrogenous myometrium probable adenomyosis; Anterior wall subserous fibroid 13 x 13 mm seen      in lower uterine segment; Anterior wall intramural fibroid measuring 3.0 X 3.1 cm, other than      that small seedling fibroids seen      Bilateral kidneys:normal                  RECOMMENDATIONS      1)Tab.Meprate 10 mg once daily (D5-D25) for 6 months       Suffering from heavy bleeding now.
Wed, 9 Mar 2016
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General & Family Physician 's  Response
Brief Answer:
See detailed answer.

Detailed Answer:
Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.

Based on your ultrasound report, it can be said with fair certainty that you have multiple fibroids in uterus of varying size. It is benign (non-cancerous) growth from uterine muscles and many women in their reproductive age come across it.

Your endometrium stripe is 7.5 mm which is not much thicker than above normal (upto 5mm) though the cancer is ruled is ruled out which is a good news.

Regarding your heavy bleeding problem, if I were your treating physician, I would advise you:

• Continue Tab. Meprate 10 mg once daily. It will help in blood clotting and improve vascular supply to uterine lining.
• Cap. Tranexamic acid 500mg three times daily for 3-4 days. It will actively stop bleeding.
• Tab. Ponstan (mefenamic acid) for 3-4 days. It is also help in stopping heavy bleeding.
Iron supplements for compensation of blood loss.

If bleeding doesn't control with this remedy, consult your gynecologist and discus other options which may include surgery.

Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing.

Regards!
Dr. Ali Raza
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Suggest Treatment For Thick Endometrium And Heavy Bleeding

Brief Answer: See detailed answer. Detailed Answer: Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services. Based on your ultrasound report, it can be said with fair certainty that you have multiple fibroids in uterus of varying size. It is benign (non-cancerous) growth from uterine muscles and many women in their reproductive age come across it. Your endometrium stripe is 7.5 mm which is not much thicker than above normal (upto 5mm) though the cancer is ruled is ruled out which is a good news. Regarding your heavy bleeding problem, if I were your treating physician, I would advise you: • Continue Tab. Meprate 10 mg once daily. It will help in blood clotting and improve vascular supply to uterine lining. • Cap. Tranexamic acid 500mg three times daily for 3-4 days. It will actively stop bleeding. • Tab. Ponstan (mefenamic acid) for 3-4 days. It is also help in stopping heavy bleeding. • Iron supplements for compensation of blood loss. If bleeding doesn t control with this remedy, consult your gynecologist and discus other options which may include surgery. Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing. Regards! Dr. Ali Raza