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Suggest Treatment For Dysfunctional Uterine Bleeding
Question: I am 44 and have had 10 day periods for a while now. They come every 25-28 days. This month it has been 16 days and running and it is getting progressively heavier with severe cramps. This morning there was large clots. My breast are very tender. I generally do not feel well. Should I be concerned? I coincidently have an ultra sound scheduled in 3 days but my symptoms have gotten worse since I last saw my gyn.
Brief Answer:
Dysfunctional uterine bleeding.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
From the history it seems that you are having Dysfunctional uterine bleeding. The irregular and heavy bleeding that you are having can be due to uterine fibroids, polyps or hormonal disturbances. For diagnosis, you need to have an ultrasound scan of your lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile can be done.
The management of this condition would require treatment with progesterone to stabilize the endometrium and reduce bleeding along with hemostatic agents like ethamsylate or tranexaemic acid . Oral contraceptive pills (OCPs) suppress endometrial development, reestablish predictable bleeding patterns, decrease menstrual flow, and lower the risk of iron deficiency anemia.
You might consult your OB-GYN who can do the needed tests and initiate the proper therapy.
Meanwhile start taking iron supplements to combat excessive blood loss from your body.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
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
Dysfunctional uterine bleeding.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
From the history it seems that you are having Dysfunctional uterine bleeding. The irregular and heavy bleeding that you are having can be due to uterine fibroids, polyps or hormonal disturbances. For diagnosis, you need to have an ultrasound scan of your lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile can be done.
The management of this condition would require treatment with progesterone to stabilize the endometrium and reduce bleeding along with hemostatic agents like ethamsylate or tranexaemic acid . Oral contraceptive pills (OCPs) suppress endometrial development, reestablish predictable bleeding patterns, decrease menstrual flow, and lower the risk of iron deficiency anemia.
You might consult your OB-GYN who can do the needed tests and initiate the proper therapy.
Meanwhile start taking iron supplements to combat excessive blood loss from your body.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
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
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. Raju A.T
Answered by
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