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Suggest Treatment For Prolonged Periods And Heavy Menstrual Bleeding

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Posted on Fri, 9 Jan 2015
Question: Hi I am suffering from prolonged periods and heavy menstrual bleeding! I am 31 yrs and unmarried and I had only 1 day bleeding and spotting in last cycle. My thyroid and blood sugar levels are normal. Endometrium lining was 9 mm 4 days ago as per ultrasound. I am still having periods. I have had bad experience 2 yrs back with hormone medicines. I am currently taking Gynae cvp 2 capsules thrice a day. My prolactin is 45. Ultrasound is normal. Can you pls fsuggest sm medicine to manage it.
doctor
Answered by Dr. Sameer Kumar (33 minutes later)
Brief Answer:
explained...and advised.

Detailed Answer:
hello,
thanks for contacting healthcaremagic.

As presently you are uffering from prolonged periods, you may take...
TAB TRANEXAMIC ACID 500mg thrice a day for 3 days to reduce and stop your menses.

However your prolactin levels are high and they are the likely cause of of scanty bleed earlier for a day.
please maintain a menstrual calendar for next 3 months and the pattern of bleeding remains scanty , then you have to be investigated for hyperprolactinemia for a possible prolactinoma in brain with a ctscan. your levels are high. once prolactinoma is ruled out then you can be given cabergoline or bromocryptine to control your prolactin levels and reglarize your menses.
regards,
dr XXXXXXX
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. Chakravarthy Mazumdar
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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Suggest Treatment For Prolonged Periods And Heavy Menstrual Bleeding

Brief Answer: explained...and advised. Detailed Answer: hello, thanks for contacting healthcaremagic. As presently you are uffering from prolonged periods, you may take... TAB TRANEXAMIC ACID 500mg thrice a day for 3 days to reduce and stop your menses. However your prolactin levels are high and they are the likely cause of of scanty bleed earlier for a day. please maintain a menstrual calendar for next 3 months and the pattern of bleeding remains scanty , then you have to be investigated for hyperprolactinemia for a possible prolactinoma in brain with a ctscan. your levels are high. once prolactinoma is ruled out then you can be given cabergoline or bromocryptine to control your prolactin levels and reglarize your menses. regards, dr XXXXXXX