HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Back Pain Symptoms And Black Vaginal Discharge

Posted on Mon, 1 Jun 2015

Question: I have been on BHRT since XXXXXXX 2014 i have still been getting extreme left back pain and left pelvic pain. I recently had a period with black blood clots.

Answered by Dr. Manisha Jain (23 minutes later)

Brief Answer:
precautions advised

Detailed Answer:
Hello XXXX, I understand your health concern.
Basically your problem is perimenopausal osteoporosis which is causing all these back pain symptoms.
Keep taking BHRT as advised as it will take 1-2 years of regular intake to have good effect on bones and helping in maintaining the mineral density.
Along with BHRT take a note of following points -
- take milk on regular basis at least twice a day making total of half kg intake a day
- take calcium supplements 1000 gms a day
- choose a calcium tablet which comes in combination with vitamin D
- visit a good physiotherapist and learn some back strengthening exercises which you can easily do at home (will have the best effect in shortest span)
Also there is alendronate infusion which is available in market and is given once an year intravenously and is very effective in maintaining bone mineral density but for this you will need to visit your gynecologist.
As regards dirty black discharge during periods there is nothing to worry as it is because of endometrial atrophy with the passage of age and thus very less tissue to disintegrate during periods and thus lesser blood flow.
In case you have any questions about it, I will be glad to answer.
Regards
Dr Manisha

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (37 minutes later)

Thank you Dr. XXXXXXX so this pain sometimes extreme which landed me in hospital on lots of different narcotics is normal? My OBGYN suggested a total hysorectomy which i am scheduled gor in September should i follow through. Ihave been diagnosed with adenomyosis via an MRI. I jave 2 children and with my ladt child 14 years ago had an emergevy CS because my utetus ruptured and have been in an out of pain for years. The BHRT have only helped with the blood flow but the pain is getting worse. I have tried physio, chiro, devompretion, yoga, and countless other options to no avail the pain at times is unbearable. I have gained weight since being on these hormones and depressed. I have recently stated feeling pain jn my right lower pelvus as well and i am currently take lots of motrin. I have been getting dizzy soells and my bloid pressure is high

Answered by Dr. Manisha Jain (3 hours later)

Brief Answer:
Hysterectomy will most probably help you

Detailed Answer:
Seeing the history of rupture uterus and adenomyosis I will suggest you to go for hysterectomy as scheduled which will definitely give you relief and also will free you from risk of cancer due to hormone therapy.
But this pain might not get fully cured because most likely it is due to osteopenia and disordered nerve growth after uterine rupture from this pain fiasco started.
But still hope is there with hysterectomy and after that continued hormone therapy and calcium supplementation will help you recover better.
Till then try physiotherapy and hot fomentation which will give you the fastest benefit.
Also keep a record of your blood pressure and if needed (in case suggested by your physician) start an antihypertensive so that you don't get side effects on your body caused by prolonged presence of high blood pressure.
I totally understand your anxiety related to this pain and of course the duration of pain so far must have been really tough to bear.
I wish you best of health and just keep me updated with the response to therapy if possible.
I will be happy to see you recover fully and soon. Take care.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar