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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Inter Menstrual Bleeding?

I have had irregular but constant bleeding for the past 2 months and given primolut N to stop the bleeding, the bleeding has stopped but returned again and started taking the tablets today- how long until the bleeding will stop? alike the comment below feeling weak and lethargic
Tue, 7 Feb 2017
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General & Family Physician 's  Response
Hello dear
I understand your concern
Constant bleeding since last 2 month is not normal.

Following are the causes: cervicitis, cervix and endometrial dyspalsia, endometritis, vaginitis, adenomyosis, fibroid, endometrial/vaginal polyp, PCOS, hormonal imbalance,bleeding disorder.
Consult the gynecologist and undergo following investigations:
reproductive hormone analysis, USG scan, endometrial biopsy, ovarian follicle study, PAP smear, colposcopy, BT, CT, APTT, platelet count.
Specific Treatment will depend on the cause.
You should take progesterone pill for 5 days under advise of gynecologist
You can also take tranexemic acid to reduce bleeding
Maintain proper pelvic hygiene, eat healthy diet with iron supplements, drink plenty of water
Hope this may help you

Contact HCM for further health query
Best regards
Dr. Sagar
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General & Family Physician Dr. Het Ram Bishnoi 's  Response
Hi
You didn't mention the cause of irregular bleeding.
Primolut_N is a potent drug for control of bleeding.
So please get in ultrasound of uterus and both ovaries to rule out any disease.
As far concerned about weakness and lethargy , this is because of loss of blood due to irregular cycle.
As far duration of treatment , treating doctor will tell you because he knwo better that what is the cause of bleeding.
So get in hemoglobin examination deal .
Good luck.
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What Causes Prolonged Inter Menstrual Bleeding?

Hello dear I understand your concern Constant bleeding since last 2 month is not normal. Following are the causes: cervicitis, cervix and endometrial dyspalsia, endometritis, vaginitis, adenomyosis, fibroid, endometrial/vaginal polyp, PCOS, hormonal imbalance,bleeding disorder. Consult the gynecologist and undergo following investigations: reproductive hormone analysis, USG scan, endometrial biopsy, ovarian follicle study, PAP smear, colposcopy, BT, CT, APTT, platelet count. Specific Treatment will depend on the cause. You should take progesterone pill for 5 days under advise of gynecologist You can also take tranexemic acid to reduce bleeding Maintain proper pelvic hygiene, eat healthy diet with iron supplements, drink plenty of water Hope this may help you Contact HCM for further health query Best regards Dr. Sagar