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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Menstruation?

I have been bleeding for over a month and despite taking pause tablets it is not stopping. This situation is happening after a year. Last year this happened and I went for a dnc. The biopsy result said I had endometriosis later scans said I did not have. I dont understand what could be wrong. Please advise
Fri, 17 Jun 2016
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OBGYN 's  Response
Hello,
I have gone through your query and understood the concern. Tranexamic acid is meant to act as a styptic to ensure hemostasis, but, when the cause of the bleeding is not treated, complete arrest cannot be seen. Your symptoms suggest a possible hormone imbalance. You should see an expert for a proper clinical assessment, get a complete hormone profile, trans-vaginal/pelvic sonogram, coagulation profile and routine blood counts and urinalysis. Weight changes, stress, infections, certain medications, cysts in the ovaries and peri-menopause can cause this clinical picture. Hope you find this information useful. Take care.
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What Causes Prolonged Menstruation?

Hello, I have gone through your query and understood the concern. Tranexamic acid is meant to act as a styptic to ensure hemostasis, but, when the cause of the bleeding is not treated, complete arrest cannot be seen. Your symptoms suggest a possible hormone imbalance. You should see an expert for a proper clinical assessment, get a complete hormone profile, trans-vaginal/pelvic sonogram, coagulation profile and routine blood counts and urinalysis. Weight changes, stress, infections, certain medications, cysts in the ovaries and peri-menopause can cause this clinical picture. Hope you find this information useful. Take care.