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Suffer from irregular periods. Trying to conceive. Continuous bleeding. Adnexal mass in the scan. What does it mean?

Hi doctor,
This is geetha. 26 years old. I got married before 1 and half years. From that i have irregular periods. i have taken treatment for 3 months. Then its normal for few months and doctor said you can able to conceive now. But, i am not getting chance to conceive. Again i am getting irregular periods. my previous date is feb 2nd after that now i am getting date on 19th. From 19th, i have continuos bleeding till now. Yesterday i went to doctor, she said take blood test and scanning test. my scanning report is both ovaries are identified and contain small follicles. no adnexal mass seen. Minimal fluid collection seen in the cul de sac. Please advice me, what can i do to stop bleeding now and to get preganant.
Asked On : Thu, 2 May 2013
Answers:  1 Views:  60
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General & Family Physician 's  Response
You are 26/F, married one and a half yr back. Since then you have irregular periods, for which you have taken treatment for 3 mths. After treatment your periods were regular for certain mths and once again you got irregular periods. After 2nd Feb. you got your period on April 19th and it continues till now. As you are not conceiving you consulted a doctor and took blood test and USG. The scan reveals that - both ovaries are identified and contain small follicles, no adnexal mass seen, minimal fluid collection seen in the cul de sac. It is assumed that you don't have pain.
You have 2 problems:
1) Basic problem - Irregular Periods
2) Your scan shows that - Minimal fluid collection seen in the cul de sac
For your irregular periods, you need a complete hormone analysis - Thyroid and Ovarian Hormones, like T3,T4,TSH and LH,FSH (to assess hormonal imbalance). Except the fluid collection your scan report is normal. So with results find out other causes of irregular periods and treat the cause. Some times Contraceptive pills taken for few mths is advised
Regarding fluid collection in the cul de sac (as no other pathology is mentioned in the scan report) it is nothing to worry. Fluid collection in this area is usually not alarming. A diagnostic D&C will be helpful.
If you correct your menstrual irregularities, everything will get alright.
Best wishes for early recovery

Answered: Thu, 2 May 2013
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