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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Stop Persistent Bleeding Post Intake Of Postinor 2?

Hi Doctor,I took positiner 2 twice in the same month like I took three tablets one day after the other.Two tablets on one night and one one tablet on the following day and my periods are not stopping it s now the second week that am having them....pliz doctor how long will this last and Wat do I do to stop the bleeding
Thu, 7 Jul 2016
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Postinor is high dose progesterone preparation to prevent pregnancy. As it contains progesterone, it causes mild withdraw bleeding in some cases that will resolve within 2 to 4 days.

But excessive bleeding in your case have following reasons:
Hormonal imbalance: as you have taken pill frequently in the month. Frequent use should be avoided and you cannot use it as a regular contraceptive because it causes menstrual irregularity and hormonal imbalance that may lead to excessive bleeding. Go for hormonal analysis like E2, progersteone, FSH, LH for further management.
Injury/trauma to vaginal tract: injury during the sex may be due to excessive bleeding. It may be associated with pain and should be diagnosed by vaginal examination.
Vaginal /pelvic infections: it should be ruled out by swab test. It is generally associated with fever. It should be treated by antibiotics.
Fibroid or precancerous condition of vagina or cervix: should be ruled out by USG scan and PAP smear.

To stop bleeding, you can also take tranexamic acid after proper evaluation. Also go for CBC, BT, CT and APTT test for coagulation profile. So, consult the gynecologist and rule out the above causes. And use condoms and contraceptive pills rather than frequent use of postinor 2.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dholariya Sagar Jayantilal
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How To Stop Persistent Bleeding Post Intake Of Postinor 2?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Postinor is high dose progesterone preparation to prevent pregnancy. As it contains progesterone, it causes mild withdraw bleeding in some cases that will resolve within 2 to 4 days. But excessive bleeding in your case have following reasons: Hormonal imbalance: as you have taken pill frequently in the month. Frequent use should be avoided and you cannot use it as a regular contraceptive because it causes menstrual irregularity and hormonal imbalance that may lead to excessive bleeding. Go for hormonal analysis like E2, progersteone, FSH, LH for further management. Injury/trauma to vaginal tract: injury during the sex may be due to excessive bleeding. It may be associated with pain and should be diagnosed by vaginal examination. Vaginal /pelvic infections: it should be ruled out by swab test. It is generally associated with fever. It should be treated by antibiotics. Fibroid or precancerous condition of vagina or cervix: should be ruled out by USG scan and PAP smear. To stop bleeding, you can also take tranexamic acid after proper evaluation. Also go for CBC, BT, CT and APTT test for coagulation profile. So, consult the gynecologist and rule out the above causes. And use condoms and contraceptive pills rather than frequent use of postinor 2. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dholariya Sagar Jayantilal