CAN BE USED BUT NEED MONITORING.
Thanks for writing to us.
First of all, your uterus is quite bulky (size of 16 weeks) with multiple fibroids (9 in number) and you are presenting with heavy bleeding at 53 years age.
In this circumstance, best and definite treatment option is TOTAL ABDOMINAL HYSTERECTOMY
with removal of both sided ovaries and fallopian tubes (TAH + BSO). It is the gold standard procedure at this stage and age group. Uterine artery embolization
, radio frequency ablation etc are the other option.
However, only PROGESTERONE
therapy (no combination) can be tried initially in the form of pill or IUD (like MIRENA) to regress fibroid and control bleeding. You need periodic follow-up and overall assessment until bleeding is controlled.
OTHER MEDICAL THERAPY: 1) GnRH Agonist (like Goserelin) 2) Anti Progesterone (like Mifepristone) 3) Aromatase Inhibitors are very much effective in reducing size of the fibroid along with symptoms.
These group of drugs should be continued for 3-6 months duration for effective results. Tranexamic acid
is quite useful to control bleeding in combination with any above group of drugs. There may be some tolerable side effects.
SUGGESTION : MIRENA can be used in your case to arrest bleeding. However, in the failed case or late menopause
, you have to go for definite treatment as mentioned above. Kindly, consult with your GYNECOLOGIST regarding this for proper management.
In the mean time, you would take healthy diet with IRON & CALCIUM supplement
and maintain genital hygiene properly.
Hope, it will be helpful for your information and understanding. Let me know, if you need clarification.
Wish your good health and take care yourself.
For future query, you can directly approach me through