Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Prolongled Menstruation?
Question: Hi Doctor,I'm 28yrs old, 85kgs, married since 2yrs woman.
I had an episode of prolonged period for 15days, in month of March 2014, so I had an abdominal USG done, which suggested ; both ovaries normal in size, shows multiple peripherally arranged follicles of size 4-5mm with echogenic stroma, concern for polycystic ovarian morphology, RT Ovary-16.7cc,LT ovary-15.5cc.
I had a history of regular 28-32days cycle,earlier my last LMP was 10-05-14,since then its 20days,i am having prolonged bleeding,which is moderate to heavy with clotsi am taking iron suppliments to prevent weakness..what to do to stop the bleeding....?please help...
email: YYYY@YYYY
I had an episode of prolonged period for 15days, in month of March 2014, so I had an abdominal USG done, which suggested ; both ovaries normal in size, shows multiple peripherally arranged follicles of size 4-5mm with echogenic stroma, concern for polycystic ovarian morphology, RT Ovary-16.7cc,LT ovary-15.5cc.
I had a history of regular 28-32days cycle,earlier my last LMP was 10-05-14,since then its 20days,i am having prolonged bleeding,which is moderate to heavy with clotsi am taking iron suppliments to prevent weakness..what to do to stop the bleeding....?please help...
email: YYYY@YYYY
Brief Answer:
AS BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Your problem is PCOD - polycystic ovarian disease.
It is a condition of basic hormonal imbalance, due to which the ovary gets studded with multiple small cyst like follicles.
Ovulation is unpredictable and periods are irregular.
The lining of the uterus - endometrium - gets built up heavily and when the bleeding occurs, it is quite heavy and painful.
Please get the following workup done -
1. Pelvic transvaginal ultrasound scan, not abdominal.
2. Hormones - FSH, LH, TSH , Prolactin, OGTT, DHEAS, Free testosterone, Lipid Profile.
Next, weight loss is a must.
Even 5 % weight loss will lead to improvement in symptoms.
Metformin is a drug that will also help in your problems.
For the bleeding, take tablet Trapic MF thrice a day once your period starts.
ALso, request for cyclical progesterone every month, tablets of progesterone taken for 10 days each month to make cycles more predictable.
All the best
Please feel free to discuss further.
AS BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Your problem is PCOD - polycystic ovarian disease.
It is a condition of basic hormonal imbalance, due to which the ovary gets studded with multiple small cyst like follicles.
Ovulation is unpredictable and periods are irregular.
The lining of the uterus - endometrium - gets built up heavily and when the bleeding occurs, it is quite heavy and painful.
Please get the following workup done -
1. Pelvic transvaginal ultrasound scan, not abdominal.
2. Hormones - FSH, LH, TSH , Prolactin, OGTT, DHEAS, Free testosterone, Lipid Profile.
Next, weight loss is a must.
Even 5 % weight loss will lead to improvement in symptoms.
Metformin is a drug that will also help in your problems.
For the bleeding, take tablet Trapic MF thrice a day once your period starts.
ALso, request for cyclical progesterone every month, tablets of progesterone taken for 10 days each month to make cycles more predictable.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hi doctor,,,what medicination shall i take now to stop bleeding??as i am bleeding since 20days ....
Brief Answer:
AS BELOW
Detailed Answer:
You can try taking Trapic MF thrice a day for 3 days.
If that does not help, try taking Meprate 10 mg thrice a day.
Before any of that it is recommended to see your gynaecologist and have a scan.
If the endometrium is severely thickened ( endometrial hyperplasia ) it might need to be biopsied.
AS BELOW
Detailed Answer:
You can try taking Trapic MF thrice a day for 3 days.
If that does not help, try taking Meprate 10 mg thrice a day.
Before any of that it is recommended to see your gynaecologist and have a scan.
If the endometrium is severely thickened ( endometrial hyperplasia ) it might need to be biopsied.
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
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
