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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Prolonged Vaginal Bleeding With Extreme Pain

can i ask my doctor to do a d&c since i ve been on my period for 32 days, and multiple blood tests havent shown any horomone imbalances, thyroid problems or insulin resistance. I am in extreme pain, and bleeding consistently and i feel like its something more serious than my doctor might be taking it.
Mon, 27 Apr 2015
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Prolonged vaginal bleeding can occur due to hormonal imbalance, uterine fibroid(s), growth in the genital tract, etc.
Since, the hormonal tests are within normal range, an ultrasound abdomen is required to look for fibroid or growth in the genital tract.
In addition, an endometrial curretting or endometrial biopsy will also be required to know the status of endometrial glands and stroma.
Hyperplasia of the endometrium is one of the causes of prolonged bleeding.
In case endometrial hyperplasia is detected, suitable hormonal treatment can be prescribed.
You can take anti-spasmodic to control the pain.
Thus, consult your gynecologist at the earliest for further investigations.

Thanks and take care
Dr Shailja Puri
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Suggest Treatment For Prolonged Vaginal Bleeding With Extreme Pain

Hello and welcome to HCM, Prolonged vaginal bleeding can occur due to hormonal imbalance, uterine fibroid(s), growth in the genital tract, etc. Since, the hormonal tests are within normal range, an ultrasound abdomen is required to look for fibroid or growth in the genital tract. In addition, an endometrial curretting or endometrial biopsy will also be required to know the status of endometrial glands and stroma. Hyperplasia of the endometrium is one of the causes of prolonged bleeding. In case endometrial hyperplasia is detected, suitable hormonal treatment can be prescribed. You can take anti-spasmodic to control the pain. Thus, consult your gynecologist at the earliest for further investigations. Thanks and take care Dr Shailja Puri