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What causes heavy menstrual bleeding? - Online Doctor Chats

Date : 05-Mar-2014
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User:Hello Doctor
Doctor:How can I help you?
User:I am a 33 year old female
User:My query is gynacological
User:I delivered about 1.5 years ago via c-section
User:For about 6 months post delivery I did not get periods, followed by 6 months of regular periods
User:Now for the last 6 months, my periods have become heavier than usual. The period lasts 7-8 days and also the cycle has become short - 3 weeks
User:As a result I am bleeding for over a week, every 3 weeks
User:I think this is also making me anemic
User:IS this routine or should I see an expert?
Doctor:It is common to see such changes after pregnancy.
Doctor:The hormones during pregnancy and the lactation does causes some menstrual hormone changes leading to slightly altered period.
Doctor:Most women complain of heavy flow after delivery.
Doctor:I prescribe my patients tranexamic acid pills to control bleeding when it is excessive.
Doctor:However if they don't improve, you will be benefitted by using birth control pills for short period of time.
Doctor:At this point of time, without a means to examine you and assess the effects of bleeding
Doctor:I wouldn't be the right person to discuss about the use of birth control pill.
Doctor:You can try tranexamic acid pill during the next cycle if bleeding is heavy (more than 4 pads a day)
Doctor:and consider visiting gynecologist whenever possible.
Doctor:Have you followed what I suggested?
Doctor:Are you there?
User:yes Doctor
Doctor:Did you follow my suggestions?
Doctor:Is there any questions?
User:tranexamic acid pills... What are these?
Doctor:These are pills prescribed by doctors to patients with heavy bleeding.
Doctor:It is available in the market commonly as pause tablets.
User:what is the dosage? when should i take the pill?
Doctor:A physician or a gynecologist will be able to prescribe it to you.
User:only to be taken if more than 4 pads a day?
Doctor:I suggest my patients 250mg tablets twice a day for 2-3 days
User:Ok. Thank you Doctor
Doctor:Period flow is measured by the number of pads you use. If it is more than 4 pads a day, then you indeed have a heavy flow.
Doctor:You can opt for the medicines under a doctors guidance
Doctor:and plan to consult a gynecologist for birth control pills the next time if you have heavy flow.
Doctor:Hope it is clear.
Doctor:Do you have any other questions?
Doctor:Are you there?
Doctor:I have to close the chat as you are not responding.
Doctor:you can chat with us 24/7 if you have any medical query.
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