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What Causes Prolonged Menstrual Bleeding?
Question: Hi... I will be 40 in 4 days. I had a baby at 36... Since then no longer on birth control, husband had a vasectomy. I normally have periods every 28 days. The first day or two is normally really heavy, with clots... having to use 3-4 pads at a time... but then it slows down and last about 6-7 days total... Back in April had an ultrasound... Showed a 9mm thickness one week before my period was due... OBgyn was not worried... Went to another doctor a couple days ago and they said they normally like to see 4 or lower and did a biopsy to rule out cancer before we do ablation or hsyterectomy.. Pap normal.. Blood work all good.... So now I am freaking out about having Cancer.... Are the odds pretty low that I do??... Oh, my last period I bleed for 17 days so that is why I went to another doctor for 2nd opinion. Blood work was done within the last 2 weeks....This is my u/s report
Brief transvaginal u/s was performed. Patient had normal appearing uterus. Endometrial thickness is 0.90 cm. Right ovary was normal. Left ovary unable to be seen. Normal appearing uterus with thick endometrial stripe appropriate for a woman of ovulatory age.
Brief transvaginal u/s was performed. Patient had normal appearing uterus. Endometrial thickness is 0.90 cm. Right ovary was normal. Left ovary unable to be seen. Normal appearing uterus with thick endometrial stripe appropriate for a woman of ovulatory age.
Brief Answer:
progesterone ingestion
Detailed Answer:
Hello, mam thanks for trusting health care magic.
This is a typical perimenopausal transition and is due to lack of proper progesterone in the body.
In my opinion wait for biopsy report and in case biopsy is normal take progesterone in last ten days from 16th of cycle.
After leaving it you will get periods.
Do it for three months and in case you still get same amount of periods then ablation should be performed to relieve the symptoms.
Chances of cancer are less in your case in case biopsy shows normal report because you don't have intermenstrual spotting or spotting after sexual activity.
In case you have other questions I will be happy to help.
progesterone ingestion
Detailed Answer:
Hello, mam thanks for trusting health care magic.
This is a typical perimenopausal transition and is due to lack of proper progesterone in the body.
In my opinion wait for biopsy report and in case biopsy is normal take progesterone in last ten days from 16th of cycle.
After leaving it you will get periods.
Do it for three months and in case you still get same amount of periods then ablation should be performed to relieve the symptoms.
Chances of cancer are less in your case in case biopsy shows normal report because you don't have intermenstrual spotting or spotting after sexual activity.
In case you have other questions I will be happy to help.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sometimes I do have spotting after sex. Not always. So that makes the chances of cancer higher? I have read a lot of horror stories about ablation.
Brief Answer:
hysterectomy is needed
Detailed Answer:
Hello mam, listening to these symptoms I will advise you hysterectomy or at least ablation therapy so as to rule out any risk of cancer left.
Ablation therapy is very safe in expert hands so don't feel anxious about it.
Till you make up your mind you can use progesterone so as to get relieved of excessive bleeding for the time being.
All the best.
In case you have other questions you can contact me directly on http://bit.ly/drmanishajain
hysterectomy is needed
Detailed Answer:
Hello mam, listening to these symptoms I will advise you hysterectomy or at least ablation therapy so as to rule out any risk of cancer left.
Ablation therapy is very safe in expert hands so don't feel anxious about it.
Till you make up your mind you can use progesterone so as to get relieved of excessive bleeding for the time being.
All the best.
In case you have other questions you can contact me directly on http://bit.ly/drmanishajain
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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