Suggest Treatment For Menorrhagia

Posted on Tue, 31 May 2016

Question: Name :- XXXX ;D.O.B:14-04-1972 ;Married ,have two children ,Now facing the problem of Menorrhagia from feburary 2016,History :In April 2015 ovarian cyst in Lt Adnexa 67x60x57mm in Rt 25x24mm,In 20/11/115 size Lt 34.9x60.2mm ,in XXXXXXX 16 Impressions B/L Ovarian Cystic mass in 22/10/15 Lt Ad.46x71x60mm Imp.Bulky uterus with submucous fibroid,Nabothian follicles in cervix & Lt.ovarian cu\yst.Uterus is normal 93x50x54,CA125 in May15: 39.9 In Feb.16:54,CA19.9;25.7 in 20/10/15In Biopsy in 24/06/15 No Granuloma is seenin EA in 22/10/15 CA125:61.80,MRI in 05/11/15:few fibroids,hydrosalpinx,Minimal free fluid in Pelvis,bilobed cysts,cervical nebothian cysts,spurious diffusion restriction,suggesting ?hemorrhagic cyst/endometriosis,FSH:35.35 @CLIA 14/03/2016,LH:10.42 these were done during cycle,Prolactin Serum:8.69,T3,Total:0.99 T4,Total:7.00,TSH:1.25 .Please guide what should be done at this time for Menorrhagia

Answered by Dr. Dr. Rakhi Tayal (41 minutes later)

Brief Answer:
Hormonal disturbance likely.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
From the history it seems that you are having Dysfunctional uterine bleeding. The irregular and heavy bleeding that you are having can be due to uterine fibroids, polyps or hormonal disturbances.
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.

You might consult your OB-GYN who can do the needed tests and initiate the proper therapy.
Meanwhile start taking iron supplements to combat excessive blood loss from your body.

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. Prasad

Follow up: Dr. Dr. Rakhi Tayal (5 hours later)

One more thing I want to clear that Small amount of Concentrated Blood Comes through Cervix while urination .The tests regarding Kidney & CBC are normal .Please clear this also .

Answered by Dr. Dr. Rakhi Tayal (2 hours later)

Brief Answer:
Due to uterine bleeding.

Detailed Answer:
Hello.
Thanks for writing again.
The concentrated blood thru cervix is a part of menorrhagia. After starting the hormonal treatment this will also stop.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
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