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What Causes Heavy Menstrual Bleeding?

Posted on Thu, 30 Jun 2016

Question: I've been having my periods every 3 weeks for the last 3 months
lasting from 3 days now to 1 week long
i started my period yesterday and i have been having massive blood cloths chunks of blood in the amount of my fist in blood cloths when i stand up ut poors
i need to be sitting down
I've never experienced this in my life in 36 years old.
for the last 7 months I've had daily pelvic pain that don't go away my lower abdomen is swallowen as if i was pregnant i don't know what to do at this point

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
Ultrasound and if required, endometrial biopsy

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.Heavy and short cycles are usually due to pathology in uterus or its lining like fibroids, adenomyosis, , endometriosis, endometrial hyperplasia or carcinoma.
I will suggest you to consult an OBGYN specialist, to get properly examined internally, investigated including ultrasound and if required, endometrial biopsy, and get further treatment accordingly.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (18 minutes later)

i attached the most recent ultrasound. i has a d&c last month hysteroscopy

Answered by Dr. Deepti Verma (21 hours later)

Brief Answer:
Endometrial biopsy should be done

Detailed Answer:
Hi dear,
I have reviewed your ultrasound report.
The report is normal.
I will suggest you to undergo endometrial biopsy to confirm the diagnosis.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (38 minutes later)

dr i had a d&c biopsy of my endometrium results are negative also biopsy of cervix was negative.

at this point do u think i should see a different specialist?

why would my endometrium be thick I'm not pregnant actually I've been trying to conceive for the past 2 yrs
i have chronic pelvic pain daily it even feels hot inside my pelvis
I'm still bleeding heavy

Answered by Dr. Deepti Verma (10 hours later)

Brief Answer:
Progesterone should be given

Detailed Answer:
Hi dear, endometrial tissue can be thick because of pathological changes in the endometrium like endometrial hyperplasia or cystic glandular hyperplasia.

You should take progesterone cyclically for 3-6 cycles to improve the condition of the endometrium and decrease the flow of bleeding.

There is no need to consult any other specialist than an OBGYN specialist.

Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Deepti Verma (1 hour later)

dose that mean i might have cancer og the endometrium I'm confused
could it be related to my bladdar my pelvic pain?

Answered by Dr. Deepti Verma (9 hours later)

Brief Answer:
endometrial biopsy will be confirmatory

Detailed Answer:
Hi dear, chances of endometrial carcinoma are rare at your age, however it should be completely ruled out by endometrial biopsy.
Pain in the lower abdomen can be due to bladder infection, however heavy bleeding is not explained by it.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Deepti Verma (2 days later)

my d&c report

Answered by Dr. Deepti Verma (7 hours later)

Brief Answer:
Progesterone should bee given

Detailed Answer:
Hi dear, I have reviewed the report.
It is confirmatory of the findings that there is no malignancy and the endometrium is normal.
You should be given progesterone like norethisterone for treatment in a cyclical manner to treat your menstrual complains.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (1 hour later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
No evidence of malignancy

Detailed Answer:
Hi dear,
I have reviewed the reports.
It shows that there is no evidence of malignancy, and endometrium is normal.
You should be given progesterone like norethisterone cyclically to control the bleeding and regulate the cycles.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

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