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Suggest Remedies For Heavy Menstrual Bleeding Post Normal Delivery

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Posted on Mon, 27 Jun 2016
Question: Hi, I am 38 years old and delivered a baby a year back vaginally. I started with abnormally heavy periods within 6 months of delivery despite breastfeeding. In the last 6 cycles that I have had I have been given Pause mf, Primolut N, Femovan ocp and last that i took was deviry 10mg twice a day for 25 days. My last cycle was manageable probably because of deviry and I was suggested no medication. But this cycle I am again bleeding very heavy. Suggestions please.
doctor
Answered by Dr. Aarti Abraham (48 minutes later)
Brief Answer:
D and C should be done.

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
What is your age ?
Was the vaginal birth uneventful, or did you have any sort of complication ?
I would make the following suggestions -
1. Please consult a gynecologist at the earliest.
2. Go for an internal gynec exam, Pap smear and a pelvic ultrasound scan. If the lining of the uterus is thickened, you may need a D and C ( biopsy of the lining of the uterus ).
3. Right now you can take Pause MF thrice a day to control the bleeding until you get an appointment with your doctor.
4. Mild hormonal imbalance ( DUB ) is common after childbirth, and if it is not manageable with OCP / Primolut N, then D and C maybe the only solution.
All the best.
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (9 minutes later)
I am 38 years old and had a normal vaginal delivery without any complications at all. it's a full term healthy pregnancy with healthy baby. my doctor is not available until Sunday for physical consultation however had an sms discussion with her where she suggested deviry 10mg twice a day for 25 days. should I take deviry and will it help control and stop bleeding? or should I also take pause mf along with deviry?
doctor
Answered by Dr. Aarti Abraham (49 minutes later)
Brief Answer:
Take Pause MF along with deviry if the bleeding is heavy right now

Detailed Answer:
Hello
Yes, you can take Deviry for 25 days.
And also Pause MF for the first 3 days along with Deviry.
But go for the workup as I suggested once your doctor is back.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (3 minutes later)
sure doctor. thank you. what dosage of pause mf please? 1 tab thrice a day or 2 tabs thrice a day?
doctor
Answered by Dr. Aarti Abraham (0 minute later)
Brief Answer:
1 tablet three times a day should be fine.

Detailed Answer:
Generally 1 tablet thrice a day should be sufficient.
WHat is your weight ?
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. Chakravarthy Mazumdar
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Suggest Remedies For Heavy Menstrual Bleeding Post Normal Delivery

Brief Answer: D and C should be done. Detailed Answer: Hello Thanks for trusting us with your health concern. What is your age ? Was the vaginal birth uneventful, or did you have any sort of complication ? I would make the following suggestions - 1. Please consult a gynecologist at the earliest. 2. Go for an internal gynec exam, Pap smear and a pelvic ultrasound scan. If the lining of the uterus is thickened, you may need a D and C ( biopsy of the lining of the uterus ). 3. Right now you can take Pause MF thrice a day to control the bleeding until you get an appointment with your doctor. 4. Mild hormonal imbalance ( DUB ) is common after childbirth, and if it is not manageable with OCP / Primolut N, then D and C maybe the only solution. All the best. Please feel free to discuss further.