Suggest Treatment For Persistent Heavy And Painful Periods
Pap smear and endometrial biopsy advised
Detailed Answer:
Hello mam, thanks for trusting health care magic.
I understand your health concern and the anxiety related to the same.
This is a serious issue and in my opinion will not be cured by hormones alone especially when even mirena got spontaneously expelled.
You need proper evaluation of your reproductive system in the form of Pap smear and endometrial biopsy.
In case you have had an ultrasound kindly upload the report so that I can advise you any additional evaluation in case needed.
If both these tests are clear then best option for you will be endometrial ablation at the earliest.
This problem in case persists for long now can give way to malignant changes or may cause severe anemia due to repeated heavy blood loss.
So get the above mentioned tests as soon as possible.
Regards
Dr Manisha.