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Strong Withdrawal Bleeding After Taking Primolut N. Normal? Should I Take Primolut Again?

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Posted on Sun, 10 Jun 2012
Question: I was prescribed primolut n for dysfunctional bleeding, my bleeding stopped and after 3 days i got withdrawal bleeding, however im a bit worried because the withdrawal bleeding is very strong is this normal? should i take primolut again to stop the heavy withdrawal bleeding?
doctor
Answered by Dr. Mohammed Tauseef (25 minutes later)
Hello.

Thank you for the query.

I would like to know few more things which would help in suggesting you better:

1.) When was the last pill you took?
2.) When did the withdrawal bleeding start?
3.) How severe is the bleeding, how many pads do you change per day?
4.) Did you take Primolut N as directed by your Doctor, what was the dose and schedule advised to you?

Normally withdrawal bleeding happens for 5 days to a week and is heavier than normal menstrual bleeding. If it has been more than a week of bleeding which is causing you change more than 3 pads per day, you should get yourself examined by your Gynecologist at the earliest. If the bleeding has been for less than a week, you can wait for the bleeding to stop on its own.

If this is not helping, you will need further evaluation to rule out the exact cause for bleeding and the treatment will depend upon the cause, like uterine polyps.

Kindly do not restart Primolut N on your own without discussing it with your Doctor.

Hope I have answered your query. I will be available to answer your follow up queries.

Regards,

Above answer was peer-reviewed by : Dr. Jyoti Patil
doctor
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Follow up: Dr. Mohammed Tauseef (12 minutes later)
Withdrawal bleeding just started yesterday but today is the heaviest. Changed pad more than 3 times. Last pill I took was last saturday. Yes i took the Primolut upon advise of my doctor, 3 times a day for 10 days.

Given the circumstances, you think I should just wait for the bleeding to stop? IS there anything i can do to alleviate the bleeding, I will be going on a trip/vacation on friday and would not like to experience such heavy bleeding on the plane.

thanks
doctor
Answered by Dr. Mohammed Tauseef (16 hours later)
Hello,

Thank you for writing back to me.

Kindly don't worry, breakthrough bleeding is the side effect of this pill and it will stop gradually on its own.

If you are planning a trip this Friday, if you feel you can manage to travel you can do so or if you can't, i would suggest, you continue Primolut N until your trip is over with the same dosage schedule, this will stop bleeding and the breakthrough bleeding will resume after you stop the pill.

Also get yourself examined by your Gynecologist and get his/her opinion to rule out other causes of bleeding in your case and to rule out any serious pathology.

All the Best and Do Take Care.

Regards,
Dr. Mohammed Tauseef.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Radhika
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Answered by
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Dr. Mohammed Tauseef

General & Family Physician

Practicing since :2007

Answered : 1337 Questions

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Strong Withdrawal Bleeding After Taking Primolut N. Normal? Should I Take Primolut Again?

Hello.

Thank you for the query.

I would like to know few more things which would help in suggesting you better:

1.) When was the last pill you took?
2.) When did the withdrawal bleeding start?
3.) How severe is the bleeding, how many pads do you change per day?
4.) Did you take Primolut N as directed by your Doctor, what was the dose and schedule advised to you?

Normally withdrawal bleeding happens for 5 days to a week and is heavier than normal menstrual bleeding. If it has been more than a week of bleeding which is causing you change more than 3 pads per day, you should get yourself examined by your Gynecologist at the earliest. If the bleeding has been for less than a week, you can wait for the bleeding to stop on its own.

If this is not helping, you will need further evaluation to rule out the exact cause for bleeding and the treatment will depend upon the cause, like uterine polyps.

Kindly do not restart Primolut N on your own without discussing it with your Doctor.

Hope I have answered your query. I will be available to answer your follow up queries.

Regards,