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I Have Intra Muscular Fibroids And Endometriosis And Normally Very
Question: I have intra muscular fibroids and endometriosis and normally very painful periods. Have gone back on the pill after failing to conceieve for 6 years. Pill is to ease period pain.
Have period and today had very painful cramps and nausea and then passed a large white fleshy triangular lump with a blood clot attaches. Have never had this before and concerned
Have period and today had very painful cramps and nausea and then passed a large white fleshy triangular lump with a blood clot attaches. Have never had this before and concerned
Brief Answer:
The findings you explain can be due to the heavy bleeding and are not worrisome
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read your query and understand your concern.
Heavy bleeding may cause clots with the menstruation. Also, the menstruation is in itself due to the falling down of the inner layer of the uterine wall. So, it is expected to have fleshy structures and clots with your periods.
So, it is completely normal to have such findings and there is nothing to worry about. On the other hand, if you are bleeding profusely, you may need to have a CBC to make sure you are not developing anemia due to the heavy bleeding.
Oral contraception may help with the heavy bleeding and the pain with the menstruation. You may also take NSAIDs such as Ibuprofen or Naproxen. These need to be taken only during the menstruation and may help both with the pain and the amount of the bleeding. They have to be taken after food to protect your stomach.
Tranexamic acid can be used to reduce the amount of bleeding as well- you may need to talk to your doctor about it.
Removing the fibroids may be considered if they are the likely cause of your heavy bleeding. In some cases, IUD with progesterone (intrauterine device), such as Mirena, can be an alternative treatment to heavy bleeding.
To conclude:
- the findings you explain are normal and may happen with a heavy period
- you will need to make sure you are not developing anemia due to the heavy bleeding
- oral contraception can help with the pain and the bleeding, so it is important to use them regularly. NSAIDs and tranexamic acid may be considered as well.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
The findings you explain can be due to the heavy bleeding and are not worrisome
Detailed Answer:
Hello and welcome to "Ask a Doctor" service,
I carefully read your query and understand your concern.
Heavy bleeding may cause clots with the menstruation. Also, the menstruation is in itself due to the falling down of the inner layer of the uterine wall. So, it is expected to have fleshy structures and clots with your periods.
So, it is completely normal to have such findings and there is nothing to worry about. On the other hand, if you are bleeding profusely, you may need to have a CBC to make sure you are not developing anemia due to the heavy bleeding.
Oral contraception may help with the heavy bleeding and the pain with the menstruation. You may also take NSAIDs such as Ibuprofen or Naproxen. These need to be taken only during the menstruation and may help both with the pain and the amount of the bleeding. They have to be taken after food to protect your stomach.
Tranexamic acid can be used to reduce the amount of bleeding as well- you may need to talk to your doctor about it.
Removing the fibroids may be considered if they are the likely cause of your heavy bleeding. In some cases, IUD with progesterone (intrauterine device), such as Mirena, can be an alternative treatment to heavy bleeding.
To conclude:
- the findings you explain are normal and may happen with a heavy period
- you will need to make sure you are not developing anemia due to the heavy bleeding
- oral contraception can help with the pain and the bleeding, so it is important to use them regularly. NSAIDs and tranexamic acid may be considered as well.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Regards,
Dr. Antoneta Zotaj
General and Family Physician
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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