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What Causes Nose Bleeds With Headache During Menstruation While Suffering From Endometriosis?

Posted on Mon, 22 Jun 2015

Question: I am a 32 year old women that has had a long history of Stage 4 endometriosis. Doctors are highly suspicious I have some deposits in my sinus area as I have nose bleeds and bad headache behind one eye when I have my periods. I now have a mouth ulcer which wont heal and is quite unusual and large. Is it possible for this to be connected?

Answered by Dr. Vjollce Mbiarra (37 minutes later)

Brief Answer:
Is possible that endometriosis can be found in sinus area and mouth

Detailed Answer:
Hi dear and thanks for your query.

Endometriosis has been found in every organ and anatomical structure in the body except the spleen.
While you have Stage 4 endometriosis and nose bleeds with bad headache during your periods ,is possible that you may have sinus endometriosis .

To determine that nose bleeding with headache is from endometriosis you may need to do a MRI(MAGNETIC RESONANCE IMAGES).

For the ulcer in your mouth ,please give me some details :
Did a mouth ulcer aggravated during your periods ?
Did a mouth ulcer improve when you are free of periods?
Is it painful?

Best regards

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Vjollce Mbiarra (11 hours later)

My ulcer began when I had a period and was much more painful when I was bleeding. It is still there and annoying but not painful. It is 9mm and the dentist has ordered an OPG. It has been there for the last 2 periods. Both times when I was bleeding it was most painful.

Answered by Dr. Vjollce Mbiarra (12 hours later)

Brief Answer:
All data you have reported reinforce diagnosis ,oral endometriosis

Detailed Answer:
Hi dear again and I'm sorry for your issue.

All data you have reported reinforce the diagnosis that have suggested your doctor.

But the gold method to determine with 100% certanty, that ulcerous lesion is endometriosis is by doing a biopsy or histopathology of lesion.

But while your doctor have ordered you to make an OPG it can be done at a very low price compared to the CT/MRI and is very sensitive for gross localization of Nasal Cavity/Ethomodial sinus/Maxillary sinus lesions & other pathology ,as sinus endometriosis.

In my opinion you should contact and with your follow-up gynecologist to discuss
for a long treatment of your spread endometriosis.

All the best and fast recovery

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Vjollce Mbiarra (47 hours later)

Thank you for your reply.

This is obviously a rare situation??

If the ulcer is endometriosis what would be the treatment options?

Failing hormonal treatment what can be done to stop the spread of endometriosis? I am just worried about where else it might turn up.

I have scheduled a follow up with my gynaecologist in 2 weeks.

Answered by Dr. Vjollce Mbiarra (1 hour later)

Brief Answer:
Treatment is the same as per pelvic endometriosis

Detailed Answer:
Hi dear again!

In fact is a very rare situation but exist .

If the mouth ulcer is endometriosis than the treatment is the same as per pelvic endometriosis ,because it's clinic vary form hormonal changes in your body during your periods.

The choice of treatment in endometriosis depends on several factors such as:

Woman’s age(you are a young women)
Severity of symptoms(your symptoms are really bad)
Fertility status(I don't know)
Stage of the disease(is stage 4)
Prior treatments (if any) and treatment response and side effects (if any)

Until hormonal treatment have failed, risks and benefits of different treatment options need to be thoroughly discussed and considered prior to treatment selection.
What kind of hormonal treatment did you take ?

Don't worry for the spread of endometriosis ,because just start the treatment your symptoms will improve .

ALL THE BEST

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Vjollce Mbiarra (2 days later)

I have tried the following:
Provera
Primolut
Yaz
Microgynon
Zolodex injections
Implanon
2 x Mirena's (1 tried to expel)
and a number of other pills
and of course 4 x surgeries including left ovary and tube removal and bowel resection.

Thank you for your help.

Answered by Dr. Vjollce Mbiarra (8 hours later)

Brief Answer:
I'm sorry

Detailed Answer:
Hi dear again!

I'm sorry that both hormonal and surgery therapy have failed .

The best treatment of this stage of endometriosis may be is :
"having a hysterectomy or salpingo-oophorectomy ".

But having this procedure done vary from your parity(how many children do you have ) and does not guarantee that the lesions will not return or that the pain will go away.
Endometriosis symptoms and lesions may come back in as many as 15% of women who have a total hysterectomy with bilateral salpingo-oophorectomy.

Hence wait until you will contact will your gynecologist and he /she will give any benefit solution for your health issue.

Best regards and fast recovery.

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. Prasad