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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Severe Menstrual Irregularity?

i have had bleeding for three weeks , the bleeding started in the middle of a cycle after missing two months of periods. doc did a preg test it was negative. i am now on primolut and have been for four days but the bleeding has not let up, it is very heavy and cramps. what do you suggest i do now.
Wed, 24 Jun 2020
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OBGYN,  's  Response
Hi,

According to your history the points that can help you are:
- Because of prolonged amenorrhea there will be thickened endometrium which can lead to heavy menstrual flow.
- If you have underwent urine test for pregnancy, better go for blood test for pregnancy which will be more accurate in ruling out the possibility of pregnancy.
- If the test gives negative result, by increasing the dose of Primolut-N and by adding anti-fibrinolytic and antispasmodic drugs the bleeding and pain can be decreased to some extent.

Investigations like ultrasound, hemoglobin levels, blood sugar levels and thyroid profile, etc. can help to find out the possible cause of irregular periods and prolonged bleeding further treatment can be planned according to this.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sree Gouri S. R., OBGYN
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How To Treat Severe Menstrual Irregularity?

Hi, According to your history the points that can help you are: - Because of prolonged amenorrhea there will be thickened endometrium which can lead to heavy menstrual flow. - If you have underwent urine test for pregnancy, better go for blood test for pregnancy which will be more accurate in ruling out the possibility of pregnancy. - If the test gives negative result, by increasing the dose of Primolut-N and by adding anti-fibrinolytic and antispasmodic drugs the bleeding and pain can be decreased to some extent. Investigations like ultrasound, hemoglobin levels, blood sugar levels and thyroid profile, etc. can help to find out the possible cause of irregular periods and prolonged bleeding further treatment can be planned according to this. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sree Gouri S. R., OBGYN