Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does Frequent Heavy Periods With Clots Suggest?
Question: my wife is 43, and having frequent very heavy periods, with large blood clots. the periods come every 2 to 3 weeks, have been told she had cysts on the ovary. advice??? they are very painful
Brief Answer:
Needs investigations.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
From the symptoms that you have described, it is probable that your wife is suffering from dysfunctional uterine bleeding. Although this occurs due to a variety of reasons, the most common reason is when the ovaries do not release an ovum (egg). This can occur due to hormonal disturbances or due to polycystic ovaries or thyroid disorder
I would suggest you to get certain investigations done so that a conclusion can be reached. These include:
a. Complete blood count
b. Fasting blood sugar
c. Follicle stimulating hormone levels
d. Luteinizing hormone levels
e. Prolactin levels
f. Thyroid function tests ( serum thyroid stimulating hormone levels and serum free thyroxine levels)
g. Ultrasonography of the pelvic region
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.
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 the 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
Needs investigations.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
From the symptoms that you have described, it is probable that your wife is suffering from dysfunctional uterine bleeding. Although this occurs due to a variety of reasons, the most common reason is when the ovaries do not release an ovum (egg). This can occur due to hormonal disturbances or due to polycystic ovaries or thyroid disorder
I would suggest you to get certain investigations done so that a conclusion can be reached. These include:
a. Complete blood count
b. Fasting blood sugar
c. Follicle stimulating hormone levels
d. Luteinizing hormone levels
e. Prolactin levels
f. Thyroid function tests ( serum thyroid stimulating hormone levels and serum free thyroxine levels)
g. Ultrasonography of the pelvic region
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.
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 the 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
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
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
