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Irregular periods and bleeding after miscarriage, daily evening pain starts - Online Doctor Chats

Date : 01-Mar-2013
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 1980
Answered : 1 Question
User:i had miscarriage 9 months back, doctor suggested me 6 mnths gap for next baby
User:but even after 6 mnths my periods was nt normal due to endmetrial echoes
User:• Endometrial echoes appears thickend and measures 11mm in the upper segment and 16mm at the lower segment with minimal fluid within.
User:this was identified after undergoing TVS scan
Doctor:Ok , and you were put on Hormone tabs for 21 days
User:so doctor suggested Novelon birth control pills
User:yeah... u are right
Doctor:so how are u doing now
User:after that my periods are normal from last 2 months
Doctor:and are your periods regular now ?
Doctor:Ok , thats a good change
User:but now suddenly from last 5 days i have abdominal pain in right side
User:i am worried why it is
Doctor:may i know , when was the last time the USG done ?
User:USG means?
Doctor:ultrasound abdomen
Doctor:when was it done last ?
User:it was done in september
Doctor:does the pain, you have come on its own, or is it increased by specific movements ?
Doctor:is the pain cramp like ? and is it associated with nausea, vomiting, etc ?
User:no it will not pain while specific movements, everyday it pains in the evening time
User:and also it pains when i press my abdomen in right side
Doctor:does it worsen after meals ?
Doctor:do u have any bloating , diarrhea, etc ?
User:no vomitting also
Doctor:does taking pain medications or taking rest - help to reduce the pain ?
User:whole day i will be at office.. i will not have any pain.. pain starts usually around 8PM daily till i go to bed
User:after that i dont feel anything
User:i dont have irregural bleeding also
User:we planned for pregancy this month
User:is that something because of that?
Doctor:sorry we were cut off due to a networkj error
Doctor:that cannot be a cause of your symptoms
Doctor:since the previous ultrasound, showed echos, it would be time, to check for if they have resolved
Doctor:in addition, you can also be prescribed a course of anti-spasmodic medications, to reduce the pain
Doctor:are u there ?
User:ok sure
Doctor:since your periods have become normal, it is a good change
User:but say if i still had those endometrial echoes and if i get pregnant
User:is there any problem?
Doctor:and within the next 2-3 months, you can try and succeed in concieving
Doctor:since your periods are not regular, you can try to concieve
Doctor:but you will have to stop taking the hormone pills, after consulting with your Doctor
User:i stopped taking those pills in november only once i got normal periods
Doctor:in case the cycles remain regular, after stopping the pill, it would indicate that , normal ovulatory cycles have restarted
User:i took them only for 21 days
Doctor:in that case, you can try to concieve now
User:but nothing to worry about the pain right?
User:when i search in google for right abdominal pain - it shows ecoptic pregnancy, appendicites, kidney stones.. etc
Doctor:just consult your doctor, who will prescribe you proper pain medications to reduce the spasmodic pain
Doctor:your symptoms do not match them
Doctor:the more you check on the net, the more you will get scared
Doctor:in case, you had them, it would been a medical emergency, and you would not have been able to bear the pain
Doctor:have u understood my suggestions
User:oh ok then i am happy doctor.. i did nt get sleep last night because of all these tensions
User:yeah i clearly understood
Doctor:taking a few pain meds, will reduce them
Doctor:and you can try to concieve anytime now
User:pain is not severe to take the pain killers.. i can bear it.. but i was worried if something is going wrong in my stomach
User:do you want me to undergo scan again before concieving?
Doctor:in that case, there is nothing to worry
User:do you want me to undergo scan again before concieving?
Doctor:not needed
Doctor:unless the pain is seere enough , and you do not concieve within the next 2 months, there is no need to worry
User:ok Doctor... Thanks for your time and your suggestions.
Doctor:You are most welcome
Doctor:take care and bye for now
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