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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Menstrual Bleeding Despite Taking Duphaston?

Hii I m having continues menstrual bleeding more than a month so my gynac doctor advised me to take duphaston10 mg twice aday I taken for 12 days still its coming what I should do for stopping periods.I m having pcod also .please give me any solution to overcome this problem
Mon, 18 Jul 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern
Duphaston generally should be given to stop bleeding in dysfunctional uterine bleeding. You have to consult the gynecologist for further management for menorrhagia
Following are the causes should be rule out :
DUB, Endometrial dyspalsia and cancer, cervical dysplasia, and poly.
Go for endometrial biopsy, USG and PAP smear to exclude the above causes.
Gynecologist will give following advice for menorrhagia:
Trenexemic acid and /or Vitamin K injection to reduce the bleeding.
IRON supplements to compensate the blood loss.
For long term management to regularize the period:
Oral contraceptive pill should be given, hormonal progesterone preparation in second half of cycle to correct hormonal imbalance.
Povera shot can be give for next management.
Intrauterine device like mirena can be given as it contain progestin and stop the bleeding for long time.
Hope this may help you
Best regards
Dr. Sagar
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What Causes Prolonged Menstrual Bleeding Despite Taking Duphaston?

Hello dear Understand your concern Duphaston generally should be given to stop bleeding in dysfunctional uterine bleeding. You have to consult the gynecologist for further management for menorrhagia Following are the causes should be rule out : DUB, Endometrial dyspalsia and cancer, cervical dysplasia, and poly. Go for endometrial biopsy, USG and PAP smear to exclude the above causes. Gynecologist will give following advice for menorrhagia: Trenexemic acid and /or Vitamin K injection to reduce the bleeding. IRON supplements to compensate the blood loss. For long term management to regularize the period: Oral contraceptive pill should be given, hormonal progesterone preparation in second half of cycle to correct hormonal imbalance. Povera shot can be give for next management. Intrauterine device like mirena can be given as it contain progestin and stop the bleeding for long time. Hope this may help you Best regards Dr. Sagar