
What Causes Heavy Menstrual Bleeding With Clots And Moodiness?

also I have gained weight and starting to get small chin hairs??
menorrhagia with dysmenorrhoea.
Detailed Answer:
Hello,
Thanks for the query to hcm,
The condition that you are experiencing in terms of heavy menses is termed as menorrhagia or excessive menstrual bleeding. There can be various causes for the same and each should be evaluated. There can be uterine causes like uterine polyps or submucousal fibroids which can cause irregular heavy menses or there can be primarily progesterone deficiency for which you would have to be placed on cyclical progesterones for at least 3-6 months.
But first you should get an ultrasound pelvis done especially a transvaginal ultrasound to rule out any uterine polyp or submucosal fibroid , if found then a hysperoscopic removal shall solve your problem to a great extent. Also opt for a hormonal profile including thyroid and prolactin levels along with serum progesterone levels. Thirdly get an endometrial biopsy done for histopathological examination to rule out any endometrial hyperplasia which can be another cause for your heavy bleeding. Another possibility is ADENOMYOSIS which is a form of endometriosis which is again a very common reason for menorrhagia with dysmenorrhoea. In such cases usually hysterectomy or GnRH analogues or continuous progesterone pills for 6 months usually helps reduce the pathology.
I would like you to get back with these reports for purview. In the meantime as you are not on any contraception, practice barrier contraception and for reducing the flow you may take antifibrinolytics like TAB TRANEXAMIC ACID 500mg thrice day for 5 days from the day 2 of your menses to reduce the flow along with an NSAID to reduce the pain. These are available on prescription.
So you may discuss the options with your physician and take an informed decision.
Regards

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