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What causes heavy clotted menstruation after removing endometriosis cysts and an ovary?

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Posted on Thu, 21 May 2015
Question: I had two endometrosis cysts removed in 2003 and 2009. The latter ruptured and my left ovary was removed in the emergency keyhole surgery. After which, I took hormone tablets for a few years. After coming off the hormone tablets, my periods have become very very heavy (during the first two days), with big blood clots up 3-4cms in size. I have to use the 41cm night time sanitary towels. Recent scans showed another endometrosis cyst ~3cm on my right ovary. I also get bad cramps on first 2 days of my period.

My last paps smear has shown clear results.

Please advise if this is normal? Are there any other tests or examinations I should carry out?

My friend had very heavy periods snd blood clots and diagnoised with cervical cancer.
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Answered by Dr. Manisha Jain (1 hour later)
Brief Answer:
Ovarian removal advised

Detailed Answer:
Hello mam, thanks for trusting health care magic forum.
This recurring endometrosis can only be treated by removal of the remaining ovary for permanent cure which will also treat increased blood loss in periods and pain too.
But if at all you don't want to be devoid of ovaries and want the menstrual cycle to continue but in regulated fashion then you can try Mirena IUCD insertion.
Mirena will treat excessive periods and will keep endometrosis in check to some extent but might not be able to treat cyst and pain during periods.
I would like to advice you to get an endometrial biopsy and testing which will rule out endometrial cancer which is commonly seen in association with endometrosis and also will make endometrium more responsive to Mirena.
In case you have any questions related to this I will be glad to answer.
Regards
Dr Manisha
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Manisha Jain

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Practicing since :2007

Answered : 5136 Questions

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What causes heavy clotted menstruation after removing endometriosis cysts and an ovary?

Brief Answer: Ovarian removal advised Detailed Answer: Hello mam, thanks for trusting health care magic forum. This recurring endometrosis can only be treated by removal of the remaining ovary for permanent cure which will also treat increased blood loss in periods and pain too. But if at all you don't want to be devoid of ovaries and want the menstrual cycle to continue but in regulated fashion then you can try Mirena IUCD insertion. Mirena will treat excessive periods and will keep endometrosis in check to some extent but might not be able to treat cyst and pain during periods. I would like to advice you to get an endometrial biopsy and testing which will rule out endometrial cancer which is commonly seen in association with endometrosis and also will make endometrium more responsive to Mirena. In case you have any questions related to this I will be glad to answer. Regards Dr Manisha