Is Hysterectomy The Right Treatment For Uterine Bleeding?

Posted on Mon, 23 Feb 2015

Question: i am 48 yrs old .last october and november i had very heavy periods with heavy clots.earlier too i had heavy clotting but those months were excessive.i was given injection and tranostat tablets.then in december i started bleeding on 25th and it is continuing till now. the medicines that i was given since XXXXXXX 7th are pause xt, aqua viron injection,around 16 tranostat tablets,femilon for 10 days and then stopped and now on deviry 10 mg twice daily. i got a D&C done and report says cystic dilatation .doctor wrote profuse endometrium, patulous cervix and bulky uterus.today my doctor advised to take deviry thrice.my son's10th board exam starts on 19th feb.i am advised to do hysterectomy but i dont want to do it before 9th march.with the bleeding still continuing will it be risky? what should i do?i had normal delivery.two sons aged 23 and 15, two mtp and one ectopic

Answered by Dr. Nidhi Setia (1 hour later)

Brief Answer:
continue drugs;monitor hemoglobin levels.

Detailed Answer:
Hello
Welcome to HCM.

You have taken multiple drugs for uterine bleeding with minimal results. Now you have been advised hysterectomy but you are unwilling for it right now due to your son's board exams.

I can understand your concerns.

In my opinion, you should continue with the drug Deviry thrice a day (as prescribed by your doctor). Along with that, use of injection/tablet tranostat (500mg two-three times per day but only under your doctor's supervision) should be considered till the time you want to postpone hysterectomy.

But, due to continued bleeding, there is risk of anemia. So, a regular monitoring of hemoglobin levels would be necessary.

Keep a regular follow-up with your doctor. Any dose/drug changes are to be made strictly under your doctor's supervision.

Hope this answers your query satisfactorily.

Feel free to ask further.

Kindly close the discussion if you have no more queries.

Thanks.
Dr. Nidhi Setia.

Above answer was peer-reviewed by : Dr. Vaishalee Punj