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Suggest Remedy For Heavy Menstruation After Consuming Primolut N
Question: My sister is in saudi and she had some mensural pblms earlier like bleeding was there for 1 month then after 2 months it will again start. At that time she was 15 yrs then she went to a doctor and she gave some medicine and then became normal for 2 yrs againit started after that then she reduced her weight it became normal then she got married and now have a child then she put on and for the past 1 yr she is having the same pblm. In between it became normal but 2 nd week again periods started. Then for some fn she used some tablet called primolut N and once she stopped it is bleeding heavily with in 2 hrs we have to change the pad. Kindly advise
Brief Answer:
Start oral contraceptive pills.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
From the history it seems that she is having Dysfunctional uterine bleeding. The irregular and heavy bleeding that she is having can be due to uterine fibroids, polyps or hormonal disturbances. For diagnosis, she needs to have an ultrasound scan of the lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile is needed.
The management of this condition would require treatment with progesterone to stabilize the endometrium and reduce bleeding along with hemostatic agents like ethamsylate or tranexaemic acid . Oral contraceptive pills (OCPs) suppress endometrial development, reestablish predictable bleeding patterns, decrease menstrual flow, and lower the risk of iron deficiency anemia.
She might consult a Gynecologist who can do the needed tests and initiate the proper therapy.
Meanwhile start taking iron supplements to combat excessive blood loss from the body. In case she can get an oral contraceptive pill like Femilon or Ovral G then it is best to start with any one of these till she meets her doctor for a detailed evaluation. Self medication in such a situation can be dangerous.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Start oral contraceptive pills.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
From the history it seems that she is having Dysfunctional uterine bleeding. The irregular and heavy bleeding that she is having can be due to uterine fibroids, polyps or hormonal disturbances. For diagnosis, she needs to have an ultrasound scan of the lower abdomen and some blood tests.
Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile is needed.
The management of this condition would require treatment with progesterone to stabilize the endometrium and reduce bleeding along with hemostatic agents like ethamsylate or tranexaemic acid . Oral contraceptive pills (OCPs) suppress endometrial development, reestablish predictable bleeding patterns, decrease menstrual flow, and lower the risk of iron deficiency anemia.
She might consult a Gynecologist who can do the needed tests and initiate the proper therapy.
Meanwhile start taking iron supplements to combat excessive blood loss from the body. In case she can get an oral contraceptive pill like Femilon or Ovral G then it is best to start with any one of these till she meets her doctor for a detailed evaluation. Self medication in such a situation can be dangerous.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your suggestion she is now taking some tablets called primolut N. Is that good and by taking femilon or ovral g will reduce or stop the bleeding is there any thing really to get worried
Brief Answer:
Yes these will help.
Detailed Answer:
Hello.
Thanks for writing again.
The bleeding can be controlled temporarily by taking these tablets twice a day. Once started she should continue it for 20-25 days and when she will stop taking these tablets she will have withdrawal bleeding in next 3-4 days.
It is best to start taking oral contraceptive pills from the next cycle for at least 3 cycles.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Yes these will help.
Detailed Answer:
Hello.
Thanks for writing again.
The bleeding can be controlled temporarily by taking these tablets twice a day. Once started she should continue it for 20-25 days and when she will stop taking these tablets she will have withdrawal bleeding in next 3-4 days.
It is best to start taking oral contraceptive pills from the next cycle for at least 3 cycles.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
So shall I ask her to stop primolut n ? And if she takes those medicines prescribed by you in three cycles will there b improvement
Brief Answer:
No. Dont stop Primolut N.
Detailed Answer:
She can continue with Primolut N for this cycle and then start with the oral pills from the next cycle. This is likely to help her in case the bleeding is due to hormonal imbalance. In case this does not help then detailed investigations are needed to find out the cause of bleeding like fibroids or polyps.
Regards.
No. Dont stop Primolut N.
Detailed Answer:
She can continue with Primolut N for this cycle and then start with the oral pills from the next cycle. This is likely to help her in case the bleeding is due to hormonal imbalance. In case this does not help then detailed investigations are needed to find out the cause of bleeding like fibroids or polyps.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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