What does heavy periods and continues spotting suggest?
Have hysteroscopy and biopsy first.
Welcome to Healthcare magic.
I am Dr Ramadevi Wani. I will be answering your concerns today.
Do you have regular periods.
I presume that the uterine lining thickness you have mentioned is 1.6 cm. This is not normal. From your notes it appears that you probably may be having an endometrial polyp.
I suggest you have hysteroscopy and biopsy first. If polyp is seen during hysteroscopic examination it can be removed and sent for microscopic examination. Based on the biopsy report treatment can be palnned. If the biopsy shows simple endometrial hyperplasia you can use medroxyprogesterone as mentioned by your doctor.
Please get thyroid hormones and Haemoglobin tested. Thyroid hormone deficiency can also cause such bleeding although in that case lining will not be thick. With the severe bleeding you had you may have developed anaemia. Start taking iron and Calcium tablets along with multi vitamin.
I hope this helps.
If you have further queries, do write to me through Healthcare Magic. I will be happy to answer.
Dr Ramadevi wani
I would also like to know what other progesterone is there to take besides provera, and one with less side affects?
A progesterone intrauterine devise can be used instead of Provera
As of now you definitely do not need hysterectomy.
Hysteroscopy is a procedure in which a small telescope is passed through the cervix ( neck of the womb) to look into the uterine cavity. If polyp is seen it can be removed. If no polyp is seen you need to have curettage. This is a minor procedure. So do not worry.
If polyp is found and removed, you do not need to take any progesterone.
If the biopsy report comes as simple hyperplasia, then you need to take progesterone.
If you do not like this provera tablet there is a progesterone intrauterine devise which can be inserted into the uterus. It releases progesterone in micrograms which acts locally on the uterine lining with less side effects.
I hope this helps.
If you have further queries, do write to me.
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