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What Causes Heavy Uterine Bleeding?
Question: Hello,
I had an abdominal myomectomy three weeks ago to remove multiple fibroids. I had been dealing with heavy uterine bleeding since February of this year, The bleeding has never stopped so Its been goin on for seven months straight. I became very anemic because of it. My concern is that my bleeding has not stopped even after the surgery. Sometimes it is heavy, but for the most part its a normal flow (5 pads a day). Prior to the surgery I was on multiple birth control pills and shots in order to stop the bleeding but none worked. Is there something else wrong? Will I have to have a hysterectomy? I'm 36 years old (will be 37 in November), no kids, 5'7'', 216lbs.
I had an abdominal myomectomy three weeks ago to remove multiple fibroids. I had been dealing with heavy uterine bleeding since February of this year, The bleeding has never stopped so Its been goin on for seven months straight. I became very anemic because of it. My concern is that my bleeding has not stopped even after the surgery. Sometimes it is heavy, but for the most part its a normal flow (5 pads a day). Prior to the surgery I was on multiple birth control pills and shots in order to stop the bleeding but none worked. Is there something else wrong? Will I have to have a hysterectomy? I'm 36 years old (will be 37 in November), no kids, 5'7'', 216lbs.
Brief Answer:
Need further evaluation.
Detailed Answer:
Hi,
Thanks for writing to us.
I would like to know if you are bleeding continuously ever since your surgery or if you have received your normal period and bleeding heavily.
If you are bleeding continuously, you need immediate medical attention for further management. You may need internal iliac artery ligation if bleeding cannot be arrested by simple measures. This procedure usually averts the need for a hysterectomy, considering the fact that you have no children.
If the bleeding is heavy during the periods, bulkiness of the uterus, hormonal factors or endometrial causes have to be ruled out and a coagulation profile also is needed.
The general condition needs to be improved through improved diet, supplements and if necessary, transfusions or iron injections.
Please get further help from your consultant.
Hope I have answered your query. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Need further evaluation.
Detailed Answer:
Hi,
Thanks for writing to us.
I would like to know if you are bleeding continuously ever since your surgery or if you have received your normal period and bleeding heavily.
If you are bleeding continuously, you need immediate medical attention for further management. You may need internal iliac artery ligation if bleeding cannot be arrested by simple measures. This procedure usually averts the need for a hysterectomy, considering the fact that you have no children.
If the bleeding is heavy during the periods, bulkiness of the uterus, hormonal factors or endometrial causes have to be ruled out and a coagulation profile also is needed.
The general condition needs to be improved through improved diet, supplements and if necessary, transfusions or iron injections.
Please get further help from your consultant.
Hope I have answered your query. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have been bleeding continuously since my surgery. about a week after my surgery I thought my regular cycle was coming on because of the very painful cramps and the blood flow starting to increase. I had two transfusions after my surgery due to my anemia. I really don't know if my cycle actually came on or not since the bleeding has never stopped.
Brief Answer:
Need intervention to arrest the bleeding.
Detailed Answer:
Hello,
Thanks for writing back.
If the cause of the bleeding has not been assessed by your surgeon so far, please get it done immediately. Infections, irregular hormones, clotting and bleeding disturbances have to be considered.
If the bleeding is mild to moderate, clotting and bleeding profiles are normal and there is no infection, most often this will respond to hemostats and hormones. Else, further investigation is needed. Surgical intervention may be needed if there is no response to medical conservative management.
Hope your query has been answered. Please get back for any more information. I will be available to help.
regards,
Shanti.V.
Need intervention to arrest the bleeding.
Detailed Answer:
Hello,
Thanks for writing back.
If the cause of the bleeding has not been assessed by your surgeon so far, please get it done immediately. Infections, irregular hormones, clotting and bleeding disturbances have to be considered.
If the bleeding is mild to moderate, clotting and bleeding profiles are normal and there is no infection, most often this will respond to hemostats and hormones. Else, further investigation is needed. Surgical intervention may be needed if there is no response to medical conservative management.
Hope your query has been answered. Please get back for any more information. I will be available to help.
regards,
Shanti.V.
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. Chakravarthy Mazumdar
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