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What Causes Heavy Menstruation?

Posted on Mon, 12 Jan 2015

Question: Iam 51 yr old XXXXXXX woman. i have been hvng heavy periods since last four yrs. Dr advised me to take trapic to control. but is it safe to use like this on regular basis. meanwhile i got curetage test done and its normal. i dnt exp pain during menstrual periods except for heavy bleeding that lasts a week.
one doc prescribed Novax-ds to be taken twice a week for three mnths. my pereods stopped completely during the course of novax but after 15 days after stopped taking the tabs suddenly heavy bleeding started and as usual it doesnt stop unless i take trapic. But this time trapic didnt work so iam tking Trapic MF. but my stomach gets bloated because of this, what shall i do? kindly advice. thanks

Answered by Dr. Soumya (6 minutes later)

Brief Answer:
Ultrasound scan required

Detailed Answer:
Hi,

I read your query and I understand your concerns.

Following is my reply:

1) Trapic is not safe to be taken for years together.

2) I suggest you try to get diagnosis so as to why are you bleeding so heavily.

3) There is possibility of uterine fibroid or polyp being there.

4) Please get ultrasound scan done to diagnose if there is fibroid or polyp in uterus which is causing such bleeding.

5) I dont advice continuing Trapic MF forever ( you can feel the side effect like bloating of abdomen). Solution is needed for the problem on permanent basis.

I hope your doubt is clarified.

Let me know if you have any more queries.

Regards,

Dr. Soumya

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Soumya (24 hours later)

I have already explained there is no abnormality in all the tests incl abdomen scan and all tests covered. so iam just thinking whether i have to wait for one more year when menopause will occur as i wil reach 52? only other solution docs say is hysterectomy, though there is no visible issue. answering this only will satisfy my query to you. I already had a dash of projesterone injection in XXXXXXX 2012 which sort of controlled bleeding for two yrs. I strongly feel novex has aggrevated it once again and can you plse tell me if itgets normalised or stop on its own? i dont have pain or nothing like that except for heavy bleeding for five days which iam not able to tolerate.
thanks

Answered by Dr. Soumya (11 hours later)

Brief Answer:
Progesterone injections are suitable option

Detailed Answer:
Hi

If all tests are normal and still you are bleeding, this is called dysfunctional uterine bleeding in medical terms.

Hysterectomy is best option if you are willing.

If you are not willing you will benefit by progesterone injections. Please continue the progesterone injections that you took earlier. These will stop bleeding and normalize.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Soumya (13 hours later)

can i ask the doc to give this? But i dont want these periods to continue for ever, I am already 51 and is there no other medication/injection to completely stop/pause this menstrual cycle for ever? thanks very much for your patience in answering my queries. madam, would you like to suggest any good docs in bangalore/ chennai?

Answered by Dr. Soumya (16 minutes later)

Brief Answer:
Suggesting best doctor in XXXXXXX

Detailed Answer:
Hi,

You can definitely request doctor to give this injection. You can take depot progesterone injections from your doctor to stop bleeding for months.

You can opt for hysteroscopic endometrial ablation if you wish to stop bleeding permanently.

If you wish to contact an expert in operative hysteroscopy and such problems in XXXXXXX you can see following doctor

Dr. XXXXXXX Koregol. XXXXXXX IVI Fertility,
Near Mekhri circle, XXXXXXX

You take appointment on phone no. 0000 before you go.

Let me know if you need anymore help.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Soumya (9 days later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Soumya (8 hours later)

Brief Answer:
Laparoscopy needed for management of Fibroid

Detailed Answer:
Hi

Thank you for reports.

As expected there is uterine fibroid which is causing this pattern of bleeding and hence need to be removed by laparoscopy surgery.

Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Soumya (1 hour later)

madam, by removing fibroid bleeding will stop permanently? dont i need to go for hysterectomy? If this is the case then why do all the docs i met said there is nothing abnormal in the report? they were only suggesting that its dysfuntional endrometrial bleeding which can be either fixed by ablation or hysterectomy. Iam now confused. plse advise. thanks

Answered by Dr. Soumya (9 hours later)

Brief Answer:
Removal of fibroid

Detailed Answer:
Hi

This is not dysfunctional uterine bleeding. It is a diagnosis if there is no other reason. Here there is a fibroid. You should get improvement by removal of fibroid. You can unde4go hysterectomy only if you dont mind uterus being removed so that there is no confusion of future.

As per these reports removal of fibroids is best.

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. Yogesh D