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Suggest Treatment For Heavy And Prolonged Period
I am having heavy periods since 3 weeks.Its been long I am suffering from this irregular periods.Consulted a doctor he said its because of low blood in my body..My hb count is only 7.I last had my periods in july and then now in Oct.and I am feeling very weak due to continuous bleeding.Please suggest what should be the reason behind this.
Thu, 15 Dec 2016
Hallow Dear,
Low blood (anaemia) can be a cause or the effect of heavy menstrual bleeding. Whatever it is, you have to tackle it. Now my advice would be as folklows:
1. Get ultrasonography performed to find out any evidence of endometrial thickness, any legion in the uterine cavity or tumour in the uterine muscle.
2. The immediate step should be to control/preferably stop the bleeding. Curetting or Progesterone can do this. If you do not control the bleeding, anaemia will still become worse. If you undergo curetting, please insist on histopathology examination of the uterine lining (endometrium).
3. Start iron preparation and high protein diet for correcting the anaemia.
4. Once the bleeding is controlled, depending upon your general condition and the requirement based on the previous investigation reports, you may require Laparoscopy and/or Hysteroscopy.
5. Depending upon the diagnosis of the underlying cause, the further management may be tried. This bleeding may be due to:
a. Hormonal imbalance which will need correction. Oral birth control pills usually can help to correct it.
b. Some tumour in the uterine cavity which will require surgical intervention.
c. Some cancer, mostly of the endometrium which also will require surgical intervention.
d. Thyroid dysfunction which can be diagnosed by blood examination for Thyroid function (T3, T4, TSH). Depending upon the type of dysfunction, it may be managed by medicines.
Please do not right off the bleeding as due to low blood and go on ignoring it.
Please report to your Gynaecologist ASAP.
Dr. Nishikant Shrotri
Low blood (anaemia) can be a cause or the effect of heavy menstrual bleeding. Whatever it is, you have to tackle it. Now my advice would be as folklows:
1. Get ultrasonography performed to find out any evidence of endometrial thickness, any legion in the uterine cavity or tumour in the uterine muscle.
2. The immediate step should be to control/preferably stop the bleeding. Curetting or Progesterone can do this. If you do not control the bleeding, anaemia will still become worse. If you undergo curetting, please insist on histopathology examination of the uterine lining (endometrium).
3. Start iron preparation and high protein diet for correcting the anaemia.
4. Once the bleeding is controlled, depending upon your general condition and the requirement based on the previous investigation reports, you may require Laparoscopy and/or Hysteroscopy.
5. Depending upon the diagnosis of the underlying cause, the further management may be tried. This bleeding may be due to:
a. Hormonal imbalance which will need correction. Oral birth control pills usually can help to correct it.
b. Some tumour in the uterine cavity which will require surgical intervention.
c. Some cancer, mostly of the endometrium which also will require surgical intervention.
d. Thyroid dysfunction which can be diagnosed by blood examination for Thyroid function (T3, T4, TSH). Depending upon the type of dysfunction, it may be managed by medicines.
Please do not right off the bleeding as due to low blood and go on ignoring it.
Please report to your Gynaecologist ASAP.
Dr. Nishikant Shrotri
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