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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Vaginal Bleeding?

I am 48 and have had normal menstrual cycles my whole life. The last four years have consisted of much heavier periods. This past month I started my period and it lasted for 3 days. I stopped for 5 days and then started bleeding and have been for 26 days. Some days heavy and some light. I went to gyn. They did ultrasound and vaginal ultrasound. I was told my lining was thick. Going in for a biopsy tomorrow. Could this be just hormone changes? My breasts hAve been sore also and some breakouts on my chin
Tue, 5 May 2015
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General & Family Physician,  's  Response
Hi,
I understand your concern.
frequent, heavy/light & prolonged/ short periods you have with thick endometrium suggests hormonal imbalance mostly due to menopausal changes - Your breast & chin changes also indicate hormonal imbalance.
But considering your age it's better to exclude any malignant changes - for that you should go through the endometrial biopsy as already arranged.
biopsy will pin point the cause.This will facilitate specific treatment.
Which may range from simple cyclical hormonal treatment/ endometrial ablation/ D& C procedure/ hysterectomy- depending on the cause.
Thanks.


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What Causes Persistent Vaginal Bleeding?

Hi, I understand your concern. frequent, heavy/light & prolonged/ short periods you have with thick endometrium suggests hormonal imbalance mostly due to menopausal changes - Your breast & chin changes also indicate hormonal imbalance. But considering your age it s better to exclude any malignant changes - for that you should go through the endometrial biopsy as already arranged. biopsy will pin point the cause.This will facilitate specific treatment. Which may range from simple cyclical hormonal treatment/ endometrial ablation/ D& C procedure/ hysterectomy- depending on the cause. Thanks.