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How Can Intramural Fibroid With Post Menopausal Bleeding Be Treated?

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Posted on Tue, 9 Jan 2024
Question: i just had a transvaginal ultrasound that said no free fluid. I have a large intramural fibroid. I am experiencing post menopausal bleeding. What does the ultrasound mean and what are the next steps I can expect
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Details below.

Detailed Answer:

Hello,
Thanks for posting your query.
I have gone through your query and health concerns in detail ,
Anything that causes inflammation of the organs in the pelvis can be associated with fluid there. For example, endometriosis, in which tissue from the uterus escapes into the abdominal cavity, could cause this. Similarly, an inflammation of the reproductive organs, like pelvic inflammatory disease, could also cause fluid in the pelvis. Fluid in the pelvis could also be caused by conditions not related to the female organs. For example, if you had colitis, or inflammation of the colon, as could occur in Crohn's disease or in ulcerative colitis, this could lead to fluid. Trauma or injury anywhere in the abdomen can lead to a leakage of blood into the abdominal space, and this can collect down in the pelvis regardless of where the original injury was.
No free fluid means everything is normal in abdomen .
If you have fibroid than you have two option -
1. if bleeding stop with medicines than go conservative .
2. if bleeding not stop than hysterectomy is only option .
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Rakhi Tayal (12 hours later)
Thank you for the info. What would be a medication for this? Is there a natural solution? What about a D&C ?
doctor
Answered by Dr. Dr. Rakhi Tayal (5 hours later)
Brief Answer:
Needs prescription based medicines.

Detailed Answer:
Hello.
Thanks for writing in again.

To stop a postmenopausal bleeding you need hemostatic medicines like Pause MF (Tranexamic acid and Mefenamic Acid). This is a prescription medicine.

D&C will not help as long as the endometrial thickness is normal. Unfortunately, natural remedies will not help much in this scenario.

Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14043 Questions

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How Can Intramural Fibroid With Post Menopausal Bleeding Be Treated?

Brief Answer: Details below. Detailed Answer: Hello, Thanks for posting your query. I have gone through your query and health concerns in detail , Anything that causes inflammation of the organs in the pelvis can be associated with fluid there. For example, endometriosis, in which tissue from the uterus escapes into the abdominal cavity, could cause this. Similarly, an inflammation of the reproductive organs, like pelvic inflammatory disease, could also cause fluid in the pelvis. Fluid in the pelvis could also be caused by conditions not related to the female organs. For example, if you had colitis, or inflammation of the colon, as could occur in Crohn's disease or in ulcerative colitis, this could lead to fluid. Trauma or injury anywhere in the abdomen can lead to a leakage of blood into the abdominal space, and this can collect down in the pelvis regardless of where the original injury was. No free fluid means everything is normal in abdomen . If you have fibroid than you have two option - 1. if bleeding stop with medicines than go conservative . 2. if bleeding not stop than hysterectomy is only option . I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal