• question-icon

    Suggest treatment for menorrhagia

default
Posted on Tue, 31 May 2016 in Women's Health
Question: Name :- XXXX ;D.O.B:14-04-1972 ;Married ,have two children ,Now facing the problem of Menorrhagia from feburary 2016,History :In April 2015 ovarian cyst in Lt Adnexa 67x60x57mm in Rt 25x24mm,In 20/11/115 size Lt 34.9x60.2mm ,in XXXXXXX 16 Impressions B/L Ovarian Cystic mass in 22/10/15 Lt Ad.46x71x60mm Imp.Bulky uterus with submucous fibroid,Nabothian follicles in cervix & Lt.ovarian cu\yst.Uterus is normal 93x50x54,CA125 in May15: 39.9 In Feb.16:54,CA19.9;25.7 in 20/10/15In Biopsy in 24/06/15 No Granuloma is seenin EA in 22/10/15 CA125:61.80,MRI in 05/11/15:few fibroids,hydrosalpinx,Minimal free fluid in Pelvis,bilobed cysts,cervical nebothian cysts,spurious diffusion restriction,suggesting ?hemorrhagic cyst/endometriosis,FSH:35.35 @CLIA 14/03/2016,LH:10.42 these were done during cycle,Prolactin Serum:8.69,T3,Total:0.99 T4,Total:7.00,TSH:1.25 .Please guide what should be done at this time for Menorrhagia
doctor
Answered by Dr. Rakhi Tayal 41 minutes later
Brief Answer:
Hormonal disturbance likely.

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.
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

Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Rakhi Tayal 5 hours later
One more thing I want to clear that Small amount of Concentrated Blood Comes through Cervix while urination .The tests regarding Kidney & CBC are normal .Please clear this also .
doctor
Answered by Dr. Rakhi Tayal 2 hours later
Brief Answer:
Due to uterine bleeding.

Detailed Answer:
Hello.
Thanks for writing again.
The concentrated blood thru cervix is a part of menorrhagia. After starting the hormonal treatment this will also stop.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13800 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Uterine bleeding

doctor1 MD

Hi Last year my husband slept with several prostitution and later I was diagnosed with trichnomiasis a sti, still my spotting continued so went for...

doctor1 MD

If we use gestofit tablets through mouth what happened If we use gesttofit 200 through mouth what happened

doctor1 MD

I have just gone 1 year without a period. I went last month and had my pap. Everything was fine. Last Friday after going to the restroom I noticed...

doctor1 MD

dizziness, eye exam normal except endpoint nystagmus, nausea and fatigue, denies vomiting. dizziness room is spinning last over 2 months, worsen...

doctor1 MD

im 34 yrs old,i go to obgyne last week coz my monthly menstruation not coming and wen i try pregnancy kit negative.she finds in my ultrasound i...

doctor1 MD

Hi. I am in my ninth week of pregnancy and the recent scan showed some uterine bleeding. My doctor has prescribed susten 100 but I am wary of...

Get personalised answers from verified doctor in minutes across 80+ specialties

176 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Rakhi Tayal
  • Q - Sex after candid v3 treatment

  • Q - What causes breasts to shrink and invert nipples?

  • Q - What should i do for chest infection and high BP ?

  • Q - What should i do to know whether i am HIV infected ?

  • Q - Does increased smoking and alcohol intake during stress increase heart...

  • Q - Is it possible to resolve monoamine oxidase deficiency by controlling diet?

  • Q - Late menstrual cycle, negative pregnancy test, laparoscopy

  • Q - Are there any side effects of abortion pills ? How long will it take to...

  • Q - Cut caffeine, low BP, frequent bloating, extreme fatigue, slight pain in...

  • Q - What post surgical care is needed following a spinal cord stimulator...

backtotop2