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What causes irregular mestruation? - Online Doctor Chats

Date : 27-Jul-2014
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
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User:My question is for my mother related to gyne problem
User:she is 45
User:last few month she is suffering from irregular mestruation cycle
User:thids time she is down after 1 month 20 days
User:and its more than 10 days she is still down
User:is there any problem
Doctor:To me it looks like perimenopause.
User:what measure she should take here
Doctor:One of hormones that regular period becomes low as one crosses 40 plus
Doctor:leading to such disturbances.
Doctor:It ends with cessation of cycles.
Doctor:it is a common age related event.
Doctor:however if she is bleeding for more than 2 weeks, she can see a doctor who can prescribe her medicines to stop bleeding.
Doctor:in other words, this is normal physiological process.
Doctor:Treatment will be needed if bleeding is heavy and persistent.
Doctor:Is there any other question?
User:no but can i speak to a gyny?
Doctor:Gynecologist are not available on live chat and call request.
Doctor:But you can discuss with them through Ask A Doctor/specialist.
User:ok no problem
Doctor:Is there any other questions?
User:should we go for ultrasound ?
User:i am extremely worried
User:i hope there is no other issue
Doctor:Doctor perform serum FSH levels before ordering ultrasound scan.
Doctor:In this context you can wait for a couple of days more. If she continues to bleed, see a gynecologist.
User:ok done
Doctor:The doctor will order both these tests to confirm perimenopause.
User:just now she confirmed me that she is bleeding since 19 days
Doctor:In the mean while, you can start her on iron supplements such as Orofer XT once a day
Doctor:to prevent anemia.
Doctor:In that case, start her on this iron supplement. You can visit a gynecologist to start treatment to stop bleeds.
Doctor:Drugs like tranexamic acid is useful in such cases.
Doctor:Have you followed?
Doctor:Do you have any other questions?
User:ok thank you!
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:bye thanks a ton!
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