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Suggest Treatment For Hormonal Imbalance Thats Leads To Heavy Prolonged Bleeding

Posted on Wed, 19 Aug 2015

Question: Hi doctor thanks for answering my question.my question is how i can control hormonal imbalance thats leads to heavy prolonged bleeding for month that has happened twice once for 10 days & this time for a month i m made to put on primolut for two months thn my doctor prescribed me duphaston.i had gone through ultrasound in which small pea size cyst & fibroid was reported rest is fine.my doc suspected miscarriage as i skipped period for 2 months but i usef contraception & my pregancy report was negative but pregancy test was conducted aftr 3months. .whn i experienced heavy bleeding.how can i control all these symptoms evn i feel pain during sexual intercourse.how to regularize my periods evn im having acne problm aftr i got married it has been 2years i hoy married.

Answered by Dr. Soumya (1 hour later)

Brief Answer:
Better to remove fibroid

Detailed Answer:
Hello,

Thanks for your query.

I have read you query and I understand your concerns about heavy and continuous bleeding.

Following is my reply:

1) The basic problem for bleeding does not seem to be hormonal imbalance but fibroid.

2) Fibroid in uterus is known to cause such heavy bleeding.

3) I suggest you undergo hysterolaparoscopy to get fibroid removed so that bleeding is controlled and you are ready for pregnancy at a later stage whenever you wish. Because fibroid causes problem in getting pregnant.

I hope I answered you query and addressed your concerns.

Let me know if you wish to ask any further questions. I will be glad to help you.

Regards,
Dr. Soumya

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Soumya (3 hours later)

Is it wise to operate that very small size fibroid which is present outside lining of d uterus.as i hve not concevied yet so m scared of operation . There is no medication for d fibroid.how long i shud continue my medication as i m put to duphaston my doctor has not advise me for hysterolaproscopy.

Answered by Dr. Soumya (15 hours later)

Brief Answer:
Fibroid removal is best

Detailed Answer:
Hi,

Fibroids which are symptomatic like causing bleeding in you are difficult to operate and hence require surgical removal to improve symptoms and reduce bleeding.

Duphaston will not help you in the long run as this problem will recur if you stop it.

Fibroid removal is best option.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Soumya (2 days later)

How long i can take duphaston? At the of delivery can my fibroid be removed? I feel pain during intercourse is due to fibroid? What is the remedy for that??

Answered by Dr. Soumya (8 hours later)

Brief Answer:
Fibroid needs to be removed

Detailed Answer:
Hi,

Duphaston can be taken each cycle till you wish. Fibroid needs to be removed in a separate surgery and not during delivery.

Pain during intercourse is possibly due to fibroid. Removing fibroid by laparoscopy is best remedy.

Let me know if you need anymore help.

Regards

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Above answer was peer-reviewed by : Dr. Prasad