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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heavy, Long And Irregular Periods. Prescribed Birth Control Pills. Ultrasound, Blood Work, Pelvic Exam Report Normal. Suggest

Since the start of this year I have been having real long, heavy, irregualr periods. The first time i went to the doctor i went to my primary physician who prescribed me birth control pills to stop the bleeding because i had been bleeding real heavy for 18 days or so. I was instructed to take 3 pills throughout the first day, 2 teh second day, and one a day until i completed the pack. 2 weeks later my period began again and after 14 days I went to the emergency room for this issue. They gave me a pelvic exam, ultrasound, blood work and didnt find anything. i was sent home and was told to see a gynecologist. I made an appointment with a gyneclogist who prescribed me refills for the same birth contol pills i was given. she also did a pelvic exam and more blood work, tested for std's and everything came back ok.Well now we are on month 3 and I have been on my period for 10 days today. I am very scared and this has really taking a toll on my day to day becuase I have this for weeks at a time now.
Wed, 10 Jul 2013
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General & Family Physician,  's  Response
Prolonged irregular periods with normal clinical and investigation findings is termed as dysfunctional uterine bleeding.It occurs due to harmonal imbalances.It may be ovulatory or anovulatory,although the latter is more common.Since hormonal imbalance is at the root of the problem,the treatment also revolves around hormones,and hence you have been rightly prescribed hormones, by both your primary care physician and gyneacologist. Addition of pro coagulants like tranexamic acid,ethamsylate may also be tried after consulting your gyneacologist. Supportive treatment to maintain your Hb levels is necessary.Hysterectomy is the last resort ,if it become totally uncontrollable.
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Heavy, Long And Irregular Periods. Prescribed Birth Control Pills. Ultrasound, Blood Work, Pelvic Exam Report Normal. Suggest

Prolonged irregular periods with normal clinical and investigation findings is termed as dysfunctional uterine bleeding.It occurs due to harmonal imbalances.It may be ovulatory or anovulatory,although the latter is more common.Since hormonal imbalance is at the root of the problem,the treatment also revolves around hormones,and hence you have been rightly prescribed hormones, by both your primary care physician and gyneacologist. Addition of pro coagulants like tranexamic acid,ethamsylate may also be tried after consulting your gyneacologist. Supportive treatment to maintain your Hb levels is necessary.Hysterectomy is the last resort ,if it become totally uncontrollable.