Brief Answer:
Need proper evaluation and take following treatment.

Detailed Answer:
Hello,

Thanks for writing to us. Followings are my comments:

1) In this age group, irregular heavy bleeding may occur due to hormonal ups and downs, as a result of dysfunction of ovary and progesterone deficiency.

However, we need to rule out possible causes of this type of bleeding though two polyps are removed. These are as follows:

a) Endometrial atrophy (thinned out)
b) Endometrial hyperplasia (if any)
c) Others- adenomyosis, certain medicine, infection etc.

Do some basic investigations to pinpoint the diagnosis like FSH, estrogen level, thyroid profile, Trans Vaginal Ultrasound scan (TVS), Pap smear test (to detect cancerous changes) and endometrial biopsy.

2) In this case, progesterone therapy with Medroxyprogesterone acetate (like PROVERA) and Tranexamic acid will help to control bleeding. Progesterone cream will NOT much effective. You need to take complete prescription from doctor.

3) If progesterone therapy fails to control bleeding, you should proceed for D & C to get effective result.

Hope, I have answered your query. Wish your good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,

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Brief Answer:
Yes, they can cause above fetaures.

Detailed Answer:
Hello dear,

Thanks for follow up query.

Yes, they can cause above clinical features. You should consult with your treating doctor and start above mentioned progesterone therapy. Take healthy balanced diet, drink more water, adequate rest and IRON supplements. Maintain genital hygiene.

Give me update after consultation with your doctor in the above mentioned link (direct approach).

Hope, it will help for your information. Good luck and take care.

Regards,

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