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What Causes Prolonged Menstrual Bleeding?
Question: I am 46 years old I have always had very regular period that last 4 days maximum. This month I have been bleeding for one month straight. I just want to know how to stop it. I can't take it anymore. i don't have insurance so going to the doctor is not an option. I have a job where I cant be leaving my desk every few hours to change pads, I'm going to get fired if it does not stop, not to mention my boyfriend im sure is just about out of patience with me over this, It is ruining my life. I just need it stopped.
Brief Answer:
Prescription hormonal medicines are needed.
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. For diagnosis, you need to have an ultrasound scan of your lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile are needed.
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. All these are prescription only medicines and it cannot be treated without visiting a doctor.
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
Prescription hormonal medicines are needed.
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. For diagnosis, you need to have an ultrasound scan of your lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile are needed.
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. All these are prescription only medicines and it cannot be treated without visiting a doctor.
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. Chakravarthy Mazumdar
What part of no insurance no time off does no one get. I swear, Im going to blow my brains out. If no one will tell me how to make this disgusting bleeding stop. I can't afford one doctors visit much less all these stipid lab tests. Plus i cannot take off work because my ass is bleeding. I just need to make it stop. Your awnser completly ignored what Iasked and what I said. I HAVE NO INSURANCE. I HAVE NO OBGYN I CAN NOT AFFORD A DOCTOR OR LAB TESTS I AM A SINGLE MOTHER WITH NO INSURANCE. i GUESS SUICIDE IS THE ONLY ANSWER.
Brief Answer:
Try home remedies and iron rich foods till then.
Detailed Answer:
Hello.
Thanks for writing again.
Do not be so disheartened. I can understand your situation. You can try and see if you get tablet Pause over the counter. It will help in decreasing the bleeding if taken thrice a day. Do start taking oral contraceptive pills. The combination pills will help in decreasing the bleeding further in next 3-4 days.
Other than that, levonorgestrel intrauterine devices are also useful.
You can have iron rich foods like liver, lean red meats, beans like kidney, lima, navy, black, pinto, soy beans, and lentils, iron fortified whole grains, green vegetables like spinach, tofu, broccoli, swiss chard, asparagus, parsley, chicken, nuts, egg yolk and dry fruits.
You can have iron supplements along with these foods.
Till the time you consult a doctor you can take a cooked banana flower with yogurt to increase the progesterone levels in your blood. Also you can boil coriander seeds -20 gms in 200 ml of water till the water reduces to a quarter. Drinking this water daily will also help.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Try home remedies and iron rich foods till then.
Detailed Answer:
Hello.
Thanks for writing again.
Do not be so disheartened. I can understand your situation. You can try and see if you get tablet Pause over the counter. It will help in decreasing the bleeding if taken thrice a day. Do start taking oral contraceptive pills. The combination pills will help in decreasing the bleeding further in next 3-4 days.
Other than that, levonorgestrel intrauterine devices are also useful.
You can have iron rich foods like liver, lean red meats, beans like kidney, lima, navy, black, pinto, soy beans, and lentils, iron fortified whole grains, green vegetables like spinach, tofu, broccoli, swiss chard, asparagus, parsley, chicken, nuts, egg yolk and dry fruits.
You can have iron supplements along with these foods.
Till the time you consult a doctor you can take a cooked banana flower with yogurt to increase the progesterone levels in your blood. Also you can boil coriander seeds -20 gms in 200 ml of water till the water reduces to a quarter. Drinking this water daily will also help.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
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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