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What Causes Heavy Menstrual Bleeding After Discontinuing Novelon?
Question: Doc prescribed novelon for 2 months. I started having weakness n other bad symptoms so I stopped taking it. After 3 days of stopping I am now having very heavy bleeding since last night. Its heavly clotted. I am changing pad evry hour. Kindly advise wat to do.
Brief Answer:
Needs hormonal treatment to stop the bleeding.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The heavy bleeding that you are having is a withdrawal bleeding caused by stopping Novelon.
Normally withdrawal bleeding happens for 5 days to a week and is heavier than normal menstrual bleeding. The heavy bleeding that you are having can be due to uterine fibroids, polyps or hormonal disturbances. For diagnosis, you need to have an ultrasound scan of your lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile can be done.
The management of this condition would require treatment with progesterone to stabilize the endometrium and reduce bleeding along with hemostatic agents like ethamsylate or tranexaemic acid . Oral contraceptive pills (OCPs) suppress endometrial development, reestablish predictable bleeding patterns, decrease menstrual flow, and lower the risk of iron deficiency anemia.
You might consult your OB-GYN who can do the needed tests and initiate the proper therapy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Needs hormonal treatment to stop the bleeding.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The heavy bleeding that you are having is a withdrawal bleeding caused by stopping Novelon.
Normally withdrawal bleeding happens for 5 days to a week and is heavier than normal menstrual bleeding. The heavy bleeding that you are having can be due to uterine fibroids, polyps or hormonal disturbances. For diagnosis, you need to have an ultrasound scan of your lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile can be done.
The management of this condition would require treatment with progesterone to stabilize the endometrium and reduce bleeding along with hemostatic agents like ethamsylate or tranexaemic acid . Oral contraceptive pills (OCPs) suppress endometrial development, reestablish predictable bleeding patterns, decrease menstrual flow, and lower the risk of iron deficiency anemia.
You might consult your OB-GYN who can do the needed tests and initiate the proper therapy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
You can take it till bleeding stops completely.
Detailed Answer:
Hello.
Thanks for writing again.
You can take Trapic MF thrice a day till the bleeding stops completely. Simultaneously it is best to start taking Novelon again to control this bleeding.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
You can take it till bleeding stops completely.
Detailed Answer:
Hello.
Thanks for writing again.
You can take Trapic MF thrice a day till the bleeding stops completely. Simultaneously it is best to start taking Novelon again to control this bleeding.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
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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