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What Causes Light Menstrual Bleeding While On Copper-T?

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Posted on Mon, 11 Jan 2016
Question: My wife had copper tee inserted thr doctor on 1st Dec , from then she is light bleeding till date.
is it because of copper tee
we have done sonography and it says Tee is in normal place
doctor
Answered by Dr. Sameer Kumar (19 minutes later)
Brief Answer:
coppet -t induced intermenstrual bleeding

Detailed Answer:
Hello,
Thanks for the query to HCM,
yes there is a possibility of light inter menstrual bleeding for at least 1-2 cycles and even the menses are likely to be slightly heavier because of copper-t insertion but this shall subside naturally, so you need not worry with this regard. As the copper-t is in place, there is no need to worry.
If the bleeding is in excess or troubling you then she may use antifibrinolytics like TAB TRANEXAMIC ACID 500mg twice a day for 3-5 days and the spotting / scanty bleed shall stop and you shall be able to resume normal sexual activities.
you may get it prescribed by your physician .
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (2 minutes later)
Thanks, but she is bleeding daily, this is what concerning me
What causes bleeding
doctor
Answered by Dr. Sameer Kumar (3 minutes later)
Brief Answer:
answered

Detailed Answer:
It takes some time for copper-t to embed into the myometrium per se and the endometrium growing around it during the proliferative phase tend to break because of arms or copper-t and causes the bleeding but after few days into the secretory phase, the endometrium overgrows the point of contact of the copper-t arm to the myometrium and stabilises thereby stopping the bleeding. If there is no pain accompanied there is no need to worry.
She may use tranexamic acid for bleeding control. This is normal and you should not be worried. give the copper-t some time to settle.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (8 hours later)
She is taking Trapic E for last seven days
Still bleeding has not stopped
Can it be harmonal disbalance

The blood collected turns brownish after some hour
doctor
Answered by Dr. Sameer Kumar (17 minutes later)
Brief Answer:
take trapic thrice a day

Detailed Answer:
She should be taking TRAPIC E thrice a day in that case for next 3 days and if it still doesn't stop then she can be placed on oc pills 3 stat and then tapered in next 2 days to stop the bleeding.
The blood oxidises in contact with air and turns brownish, so thats normal.
So please follow the advise.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (6 hours later)
Also during sonography following observation
right ovary 3.3 x 1.8x 1.7 =5.5cc
left ovary 4.5 x 2.2x 2.2= 11cc

Corpus luteam seen in both ovary
Rto 0.9x 0.7
Lto 1.8x 1.1

23 day from lmp
is ovary size and volume normal

And CL CYST mention will it go on its own
doctor
Answered by Dr. Sameer Kumar (7 hours later)
Brief Answer:
normal USG

Detailed Answer:
Hello,
The volume of left ovary is slightly more , normal being 10cc for each. ANYTHING MORE IS GENERALLY INDICATIVE OF POLYCYSTIC DISEASE.
However corpus luteum is a normal occurrence after the ovum is released from the XXXXXXX follicle, and it resolves by the end of the cycle.
So effectively the ultrasound is a normal study.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1780 Questions

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What Causes Light Menstrual Bleeding While On Copper-T?

Brief Answer: coppet -t induced intermenstrual bleeding Detailed Answer: Hello, Thanks for the query to HCM, yes there is a possibility of light inter menstrual bleeding for at least 1-2 cycles and even the menses are likely to be slightly heavier because of copper-t insertion but this shall subside naturally, so you need not worry with this regard. As the copper-t is in place, there is no need to worry. If the bleeding is in excess or troubling you then she may use antifibrinolytics like TAB TRANEXAMIC ACID 500mg twice a day for 3-5 days and the spotting / scanty bleed shall stop and you shall be able to resume normal sexual activities. you may get it prescribed by your physician . Regards