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Suggest Treatment For Excessive Menstrual Bleeding

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Posted on Thu, 3 Mar 2016
Question: My cycle came on Sunday the 16th it started normal but went off that day . it started again the next day but it was a really dark brown. I been bleeding dark brown blood for 5 days now.I'm starting to have pain at the bottom of my stomach. What should I do
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Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
You seem to have menorrhagia

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through the query and understand your concern. You seem to have menorrhagia or excessive menstrual bleeding. My suggestions would be:
* Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve), help reduce menstrual blood loss. NSAIDs have the added benefit of relieving painful menstrual cramps (dysmenorrhea).
* Tranexamic acid. Tranexamic acid (Lysteda) helps reduce menstrual blood loss and only needs to be taken at the time of the bleeding.
* Iron supplements. If you also have anemia, your doctor may recommend that you take iron supplements regularly. If your iron levels are low but you're not yet anemic, you may be started on iron supplements rather than waiting until you become anemic.

For long term management, I would suggest use of:
* Oral contraceptives. Aside from providing birth control, oral contraceptives can help regulate menstrual cycles and reduce episodes of excessive or prolonged menstrual bleeding.
* Oral progesterone. When taken for 10 or more days of each menstrual cycle, the hormone progesterone can help correct hormone imbalance and reduce menorrhagia.
* The hormonal IUD (Mirena). This intrauterine device releases a type of progestin called levonorgestrel, which makes the uterine lining thin and decreases menstrual blood flow and cramping.

I would insist you to discuss the options with your gynecologist before adapting them.

Regards
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Excessive Menstrual Bleeding

Brief Answer: You seem to have menorrhagia Detailed Answer: Thanks for asking on HealthcareMagic. I have gone through the query and understand your concern. You seem to have menorrhagia or excessive menstrual bleeding. My suggestions would be: * Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs, such as ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve), help reduce menstrual blood loss. NSAIDs have the added benefit of relieving painful menstrual cramps (dysmenorrhea). * Tranexamic acid. Tranexamic acid (Lysteda) helps reduce menstrual blood loss and only needs to be taken at the time of the bleeding. * Iron supplements. If you also have anemia, your doctor may recommend that you take iron supplements regularly. If your iron levels are low but you're not yet anemic, you may be started on iron supplements rather than waiting until you become anemic. For long term management, I would suggest use of: * Oral contraceptives. Aside from providing birth control, oral contraceptives can help regulate menstrual cycles and reduce episodes of excessive or prolonged menstrual bleeding. * Oral progesterone. When taken for 10 or more days of each menstrual cycle, the hormone progesterone can help correct hormone imbalance and reduce menorrhagia. * The hormonal IUD (Mirena). This intrauterine device releases a type of progestin called levonorgestrel, which makes the uterine lining thin and decreases menstrual blood flow and cramping. I would insist you to discuss the options with your gynecologist before adapting them. Regards