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What Causes Heavy Menstrual Bleeding?

Posted on Wed, 25 Jun 2014

Question: Hi my wife is having abnormal bleading during period from last 6 months. We are having 2 child. She is healthy.
Suggest

Answered by Dr. Dr. Soumen Patra (43 minutes later)

Brief Answer:
NEED ADDITIONAL INFORMATION.

Detailed Answer:
Hello,

Thanks for writing to us.

Before giving to answer of your query, I need some additional information to assist you better and give proper guideline.

1) What is her last menstrual period date?
2) Is period regular or irregular? Duration of cycle?
3) When did she deliver last baby?
4) Is it heavy bleeding? Any test report?

Waiting for your response.

Regards,
Dr Soumen

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Soumen Patra (1 hour later)

Dear sir below details as :
1. 23 of may this month last MP
2. Regular period gets ln every 25 days
3. 6 years back last baby
4. Seems heavy bleeging now she changes 3 pads in a day in first 2 days, currently no test report

Thanks
Regards XXXXXXX XXXXXXX

Answered by Dr. Dr. Soumen Patra (3 hours later)

Brief Answer:
DETAILS ARE GIVEN BELOW.

Detailed Answer:
Hello,

Thanks for additional information.

First of all, heavy bleeding may occur among some percentage women in this age group. Hormonal imbalance (progesterone deficiency) & improper ovulation may cause abnormal heavy bleeding.

However, we have to rule out other possible causes of heavy bleeding in this context. These are as follows:

1) Uterine fibroid & polyp (body and cervical region)
2) Adenomyosis or endometrial hyperplasia
3) Use of certain medication etc.

Complete physical examination including pelvic/ speculum exam and ultrasound scan will be worthwhile to rule out underlying pathology and confirm diagnosis.

TREATMENT: There is certain treatment protocol with initiation of haemostatic agent (like Tranexamic Acid ) combined with oral progesterone tab. It is quite helpful to reduce or control bleeding. Kindly, consult with her Gynecologist for complete prescription.

If above medical treatment fails to control bleeding, then approach would be surgical by the means of Dilation and curettage (D&C), Operative hysteroscopy to remove polyp, endometrial ablation in case of hyperplasia.

Wish her good health and take care yourself. Maintain genital hygiene properly. Take healthy diet with IRON supplement.

Hope, I have answered your query. If you don't have any other query, you can close the discussion.

Regards,
Dr Soumen

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Soumen Patra (7 minutes later)

Thanks will go for final check up.

Answered by Dr. Dr. Soumen Patra (1 hour later)

Brief Answer:
MOST WELCOME.

Detailed Answer:
Hello,

Thanks for your response.

Yes, a complete check up is required for your wife. Kindly, consult with gynecologist regarding this.

Hope, I have answered your query. Kindly, close the discussion.

Good luck and all the best.

Regards,
Dr Soumen

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. Vinay Bhardwaj