What Causes Persistent Vaginal Bleeding While On Primolut N And Novelon?

Posted on Sun, 27 Dec 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 27 Dec 2015 Answered on

Thu, 21 Jan 2016 Last reviewed on

Question : hi i am 34 years single i have been bleeding aince last six months my all reports usg biopsy etc are normal i have been given trapic mf primolut and novellon but however i am still bleeding and with heavy clots . my d and c was also done one month back i am highly worried what should i do further to stop and for my regular periods

Answered by Dr. Deepti Verma (54 minutes later)

Brief Answer:
Get blood investigations done

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Heavy continuous bleeding can be due to dysfunctional uterine bleeding, endometrial hyperplasia, endometrial carcinoma or due to some deranged blood parameters like decreased platelet count or deranged coagulation profile.
Since your endometrial biopsy is normal, the endometrial pathologies and dysfunctional uterine bleeding are ruled out.
I will suggest you to get your platelet counts and coagulation profile done to diagnose the condition and get appropriate treatment.
If everything is normal, then endometrial ablation can be done to stop the bleeding.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma

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

Follow up: Dr. Deepti Verma (3 minutes later)

i have my blood investigation done my rbc is in normal range white blood cells around 11500 and my platelets are around 638000 what is endometral abalation pls let me know whom should or which specialist i should consult my blood coagulation reports are also normal i e blood clotting time etc is also normal

Answered by Dr. Deepti Verma (7 minutes later)

Brief Answer:
Minimal invasive procedure

Detailed Answer:
Hi dear,
Endometrial ablation is the procedure to ablate or thin out the endometrial lining by thermal or electrical methods.
It is a minimal invasive procedure, and is done by an OBGYN specialist at any good centre.
Regards
Dr Deepti Verma

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

Follow up: Dr. Deepti Verma (3 minutes later)

hpwever mam my endometrial lining is also in notmal was told its about 7 mm something do u still think k should get it done or else whom should i consult .cause had consulted a haemotologist as well however he said it pertains to gaynec area.please help me out since i m tired and fedup alot from this bleeding.also i am single madam planning to get married so how can i go for endometral ablation i would not be able to concieve after it pls help me out pls mam thank u

Answered by Dr. Deepti Verma (8 hours later)

Brief Answer:
Were you ever given progesterone or hormonal medications

Detailed Answer:
Hi dear,
Endometrial ablation can be done in cases of normal thickness of endometrium.
However, it should not be done in patients who plan to conceive.
Were you given progesterone or any hormonal medications to regulate the bleeding?
Regards
Dr Deepti Verma

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

Follow up: Dr. Deepti Verma (9 hours later)

yes mam i said in first mail i have been given trapic mf prolitum novellon tabs thrice a day still my beelding is not stopping

Answered by Dr. Deepti Verma (29 minutes later)

Brief Answer:
High dose of estrogen

Detailed Answer:
Hi dear,
If the bleeding is not stopped by primolut, Novelon, then you should be given high dose of high estrogen oral contraceptive pills like Ovral G.
Increased estrogen content in these pills have hemostatic action and is known to control any refractory uterine bleeding.
Please upload your reports, if feasible for a detailed review.
Hope you found the answer helpful.
Regards
Dr Deepti Verma

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