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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Do I Control Bleeding When On Primulut N?

Suffering from endomyosis for past 3 years. Have been on and off Primulut N during the time to control heavy bleeding. My gyno says the only solution is to remove the uterus. I am now 42 years. Please advise if there medical solution to my problem than the utlitmate decision of removal pf the uterus.
Tue, 25 Mar 2014
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OBGYN,  's  Response
Hi and welcome,

There are a number of treatment options available for this condition. The issue however is their high failure rate. So while some women may do very well others may simply not show 1% improvement.

The options are
1. drugs like Gn Rh agonists: high side effects
2. danazol: causes hirsuitism
3.progesterone: you have already tried
4. Hormone containing intra uterine devices: Mirena: good results
5. Uterine artery embolisation: blocking the uterine arteries under ultrasound guidance. Decreases blood supply to the uterus and hence bleeding.
6. MRI guided Focused ultrasound surgery: Uses MRI to target lesion and ablate them

So we do have an array of options other than hysterectomy. Just discuss these with your doctor and decide the best option.

Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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How Do I Control Bleeding When On Primulut N?

Hi and welcome, There are a number of treatment options available for this condition. The issue however is their high failure rate. So while some women may do very well others may simply not show 1% improvement. The options are 1. drugs like Gn Rh agonists: high side effects 2. danazol: causes hirsuitism 3.progesterone: you have already tried 4. Hormone containing intra uterine devices: Mirena: good results 5. Uterine artery embolisation: blocking the uterine arteries under ultrasound guidance. Decreases blood supply to the uterus and hence bleeding. 6. MRI guided Focused ultrasound surgery: Uses MRI to target lesion and ablate them So we do have an array of options other than hysterectomy. Just discuss these with your doctor and decide the best option. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist