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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heavy, Prolonged Vaginal Bleeding With Clots?

m having excessive vaginal bleeding. I have been bleeding for over a month straight. I have had my. tubes tied, for the past week the bleeding has increased. i am filling a tampon within 20 minutes and pass several blood clots every time I sit down. should i go to urgent care?
Fri, 15 Jul 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern
Heavy and prolonged vaginal bleeding called menorrhagia.
You immediately consult the gynecologist as bleeding is severe.
It may be due to ectopic pregnancy as your tube tied that increase risk of ectopic pregnancy.
Go for USG scan to diagnose the ectopic pregnancy and if will there should be treated by surgery.
Other cause of heavy and prolongs bleeding are:
Cervical cancer and dysplasia, endometrium dysplasia and cancer, fibroid, ovarian cyst.
If above cause do not found then it may be due to dysfunctional uterine bleeding (because of hormonal imbalance)
Above causes should be diagnosed by reproductive hormone analysis, endometrium biopsy, ovarian follicle study, USG scan and PAP smear.
Doctor will give you following advice:
oral contraceptive pill, trenexemic acid, povera shot.
If not responds to drug then it should be treated by D & C.
Another management depend on cause. Healthy diet with iron supplements and heamatinics should be advisable.
Hope this may help you
Best regards
Dr. Sagar
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What Causes Heavy, Prolonged Vaginal Bleeding With Clots?

Hello dear Understand your concern Heavy and prolonged vaginal bleeding called menorrhagia. You immediately consult the gynecologist as bleeding is severe. It may be due to ectopic pregnancy as your tube tied that increase risk of ectopic pregnancy. Go for USG scan to diagnose the ectopic pregnancy and if will there should be treated by surgery. Other cause of heavy and prolongs bleeding are: Cervical cancer and dysplasia, endometrium dysplasia and cancer, fibroid, ovarian cyst. If above cause do not found then it may be due to dysfunctional uterine bleeding (because of hormonal imbalance) Above causes should be diagnosed by reproductive hormone analysis, endometrium biopsy, ovarian follicle study, USG scan and PAP smear. Doctor will give you following advice: oral contraceptive pill, trenexemic acid, povera shot. If not responds to drug then it should be treated by D & C. Another management depend on cause. Healthy diet with iron supplements and heamatinics should be advisable. Hope this may help you Best regards Dr. Sagar