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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Persistent Vaginal Spotting

I have a quick question. I ve had my iud for 2 years and recently I m spotting a lot but it s for days at a time in the past 6 weeks. I have no insurance and am wondering if the iud mirena is goin bad or if I need to be seen for a different issue? I ve been so viciously tired the past couple weeks and very moody
Tue, 9 Jul 2019
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General Surgeon,  's  Response
Hi,

Firstly, rule out pregnancy if the period is delayed, HCG estimation and USG will be helpful.

Secondly, cervix inflammation or uterine fibroid also to be ruled out. For that per speculum examination and USG useful.

Thirdly, rule out ovarian causes like cyst by USG.

The pelvic inflammatory disease also can be the cause. USG will be useful along with urine examination.

Also, check your diabetes by sugar estimation and thyroid profile. If needed accordingly you might need pap smear examination or endometrial biopsy like an investigation. Consult a gynec doctor for proper examination.

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

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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Suggest Remedy For Persistent Vaginal Spotting

Hi, Firstly, rule out pregnancy if the period is delayed, HCG estimation and USG will be helpful. Secondly, cervix inflammation or uterine fibroid also to be ruled out. For that per speculum examination and USG useful. Thirdly, rule out ovarian causes like cyst by USG. The pelvic inflammatory disease also can be the cause. USG will be useful along with urine examination. Also, check your diabetes by sugar estimation and thyroid profile. If needed accordingly you might need pap smear examination or endometrial biopsy like an investigation. Consult a gynec doctor for proper examination. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon