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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heavy Menstrual Bleeding?

I am 49 year old women who until two weeks ago had normal periods, every 28 days , other then bleeding longer after slightly, I have b a very heavy period this time and now the bleeding slowed diwn to spotting and its two weeks today, I also have a fibroids inside my uterus that were detected three years ago, is this menapuenapuse or the fibroids or both?
posted on Thu, 29 Jun 2017
Twitter Wed, 9 Aug 2017 Answered on
Twitter Thu, 10 Aug 2017 Last reviewed on
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General & Family Physician,  's  Response
Hello
Welcome to health care magic.

Heavy menstrual bleeding with vaginal spotting in between can be due to fibroids.
If the cycles get irregular with abdominal pain,hot flushes,mood swings,vaginal dryness it is more likely due to menopause.

You need to visit gynaecologist.
Detailed investigation like USG abdo,blood hormone levels may be needed to rule out other causes of vaginal bleeding.
Medical treatment with danazol or low dose oral contraceptives can be started for next 3-6 months.
Surgical options like myomectomy or hysterectomy can be considered if family is complete.Second option is more suitable in this age.

Hope I answered your query.
Feel free to ask any more doubt.
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What Causes Heavy Menstrual Bleeding?

Hello Welcome to health care magic. Heavy menstrual bleeding with vaginal spotting in between can be due to fibroids. If the cycles get irregular with abdominal pain,hot flushes,mood swings,vaginal dryness it is more likely due to menopause. You need to visit gynaecologist. Detailed investigation like USG abdo,blood hormone levels may be needed to rule out other causes of vaginal bleeding. Medical treatment with danazol or low dose oral contraceptives can be started for next 3-6 months. Surgical options like myomectomy or hysterectomy can be considered if family is complete.Second option is more suitable in this age. Hope I answered your query. Feel free to ask any more doubt.