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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Laparoscopic Cyst Removal Previously. Having Irregular Periods. Prescribed Modus. Has Side Effects Such As Weight Gain. Suggestions?

hi doctor i am 44 seperated..had laproscopic cyst removal in 2010..before then my periods were absolutely normal and even after for some time..since sept 2012 its been irregular..my last period was on oct 8 for 5 days normal bleeding ..then no period for nov . on dec 24 th it started with normal flow but now its 13th and till date its bleeding..doctor today suggested me to take modus 10 for 21 days..i do not want to go with harmones as i am prone to put on weight very easily..plus my thyroid was TSH 2.53..please advise..
Sat, 21 Dec 2013
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OBGYN 's  Response
Hello,
Hormone progesterone has lesser side effects than combination pills or estrogen alone and needs to be used here for arrest of the excessive bleeding and to regulate the cycle. It is common for prolonged bleeding to happen whenever there is a delayed period as there is usually endometrial hyperplasia in such a case. As you are in the peri-menopausal period, you are additionally prone to hormonal imbalances; your psychological state and body weight would add to this. You would not need thyroxine supplementation unless your free thyroid levels are abnormal. Please maintain a healthy body weight and try to avoid stress; you will not need additional hormones. Wish you good health.
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Had Laparoscopic Cyst Removal Previously. Having Irregular Periods. Prescribed Modus. Has Side Effects Such As Weight Gain. Suggestions?

Hello, Hormone progesterone has lesser side effects than combination pills or estrogen alone and needs to be used here for arrest of the excessive bleeding and to regulate the cycle. It is common for prolonged bleeding to happen whenever there is a delayed period as there is usually endometrial hyperplasia in such a case. As you are in the peri-menopausal period, you are additionally prone to hormonal imbalances; your psychological state and body weight would add to this. You would not need thyroxine supplementation unless your free thyroid levels are abnormal. Please maintain a healthy body weight and try to avoid stress; you will not need additional hormones. Wish you good health.