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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Heavy Menstrual Bleeding In An Elderly Person

Sir i m 50 years old lady sufering from heavy menses it does not stop once started it continues for more than one month even . If i take sevista tablet it stops. after that period comes only after i stop taking sevista i have already completed two cycles of sevista 2 tables per week for 3 months and 1 tablet a week for three months pl tell me how safe it is to start with third cycle of sevista which power of sevista should be used 30 mg or 60 mg
Wed, 17 Feb 2016
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General & Family Physician,  's  Response
HI,
Thank you for the query. I understand your concern.
Sevista is an estrogen receptor modulater & is used for family planning/ control of FUH.( heavy menses ).
Sevista is not known to have side effects except for causing delayed menses... but since you need to take it continuously for control of bleeding., I feel instead of taking it for a long run, you are advised to get consulted by a gynecologistwith investigations ( USG/ endometrial biopsy,) to know basic cause & seek some permanent cure to the problem.
As you are already 40...there should not be need for menstruation( the menopause has already at doors ), you may be offered treatment like endometrial ablasion/ hysterectomy instead of taking medication like Sevista continuously.
Thanks.
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Suggest Treatment For Heavy Menstrual Bleeding In An Elderly Person

HI, Thank you for the query. I understand your concern. Sevista is an estrogen receptor modulater & is used for family planning/ control of FUH.( heavy menses ). Sevista is not known to have side effects except for causing delayed menses... but since you need to take it continuously for control of bleeding., I feel instead of taking it for a long run, you are advised to get consulted by a gynecologistwith investigations ( USG/ endometrial biopsy,) to know basic cause & seek some permanent cure to the problem. As you are already 40...there should not be need for menstruation( the menopause has already at doors ), you may be offered treatment like endometrial ablasion/ hysterectomy instead of taking medication like Sevista continuously. Thanks.