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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Late Periods, Heavy Bleeding With Clots, Cramps. Given Norethisterone. Suggest?

Last month my period was a week or so late when it s usually very regular! It was very heavy with huge blood clots and was still goin strong 21 days later! My gp put me on norethisterone for 10 days which slowed the bleeding somewhat but never stopped it! Now after the 10 im heavier than ever! Feel very tired and nauseated! Do I have to wait for another week or should I go back gp now! I m 43 and although do have heavy periods they have never been like this! The cramps are horrid and debilitating!
Tue, 13 Aug 2013
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OBGYN,  's  Response
Thanks for posting your query. From your question , I understand that you have been having heavy & prolonged menstrual bleeding. This may lead to anemia and may explain your tiredness. The hormone tablets can cause nausea but that is not something to worry. You need meet your doctor as soon as possible and you will probably referred to a gynaecologist. You will need a blood count, ultrasound pelvis, pain killers and iron tablets as the case may be . There are non hormonal preparations which can be safely given to you to arrest the bleeding.The scan will tell us whether there are any fibroids and also about the endometrium(lining of the womb).The treatment options include medications, mirena coil (depending on your condition) and the last resort is removing the uterus. I assume your cervical smears are uptodate and normal. Hope this helps. Take care.
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Had Late Periods, Heavy Bleeding With Clots, Cramps. Given Norethisterone. Suggest?

Thanks for posting your query. From your question , I understand that you have been having heavy & prolonged menstrual bleeding. This may lead to anemia and may explain your tiredness. The hormone tablets can cause nausea but that is not something to worry. You need meet your doctor as soon as possible and you will probably referred to a gynaecologist. You will need a blood count, ultrasound pelvis, pain killers and iron tablets as the case may be . There are non hormonal preparations which can be safely given to you to arrest the bleeding.The scan will tell us whether there are any fibroids and also about the endometrium(lining of the womb).The treatment options include medications, mirena coil (depending on your condition) and the last resort is removing the uterus. I assume your cervical smears are uptodate and normal. Hope this helps. Take care.