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Lengthy menstrual cycle, had spotting before onset. History of similar event in the past which stopped with medicine. Help?

i have been having a menstrual cycle for 2 weeks. I spotted a week before I acturally started bleeding but have bleed for two weeks now. In 2007 bleed for almost a month and a half. Went to hospital and obgyn and they couldnt find anything wrong.THe hospital went in and scrapped my wall lining which they said was thin already. put me on some meds to stop bleeding. Since then my periods regulated.up untill about a year ago.They went from every month to every third month. Now ive spotted for a week and had heavy bleeding and clots for two weeks. Help please.
Asked On : Wed, 13 Feb 2013
Answers:  1 Views:  19
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OBGYN 's  Response
May 2013
Thanks for the query.
You didn't mention details about your age and parity.
The general possible causes for your menorrhagia are :
- Hormonal imbalance. Sometimes hormonal imbalance leads to spotting prior to expected date of periods.
In case of increased endometrial thickness due to hormonal effect, increased menstrual flow with passage of clots can be seen.
-Structural causes like fibroids, endometrial polyps, endometrial hyperplasia etc.
- Sometimes hormones producing tumors of the ovary can also lead to menorrhagic cycles.
-Thyroid hormonal abnormalities etc.
So you once consult gynecologist, get examined and go for ultrasound.
If she recommends go for endometrial biopsy, hormonal profile including estrogen, progesterone, LH, FSH and thyroid profile etc.
Possibly with this workup the cause for your problem can be identified and treated.
Meanwhile you can take anti - fibrinolytic drugs to control the bleeding.
Take care.
Answered: Wed, 30 Oct 2013
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