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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pelvic Pain And Heavy Menstrual Bleeding

Hello, I m 23, unmarried Med student. for the 2 last months I ve been experiencing very heavy menstrual periods(both pain and bleeding) ,couldn t control my pain with anti inflammatory drugs and I even tried Diclofenac 100mg suppositories which still didn t work for me. so I went for a sonography and was diagnosed with a 9mm hypoechoic nodule in the lateral wall of my cervix. Doctors said it s probably a small myoma and its not an important thing to be worried about.They prescribed different pills,one told me to take OCP pills the other one said it s not safe to take OCPs cause I might be having a high level of estrogen. in addition Im having breast pain since 4-5 months a go and recently I have a sever sharp pain in my bones specially pelvis (ilium). what should I do?
Tue, 9 Jul 2019
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General Surgeon,  's  Response
Hi,

There are two possibilities in your case-
1) PCOS (polycystic ovarian syndrome)
2) Hormonal imbalance due to use of pills, excessive weight gain, stress and strenuous exercise.

In your case, due to excessive weight gain and anovulatory cycles, there is an unopposed action of estrogen on the endometrial lining. (That is the reason for heavy menses at this time).

In my opinion, you should consult a gynecologist and get yourself examined and investigations (blood profile, pelvic ultrasound, thyroid profile and hormonal profile) should be done to rule out the above-mentioned causes.

You need to take iron tablets along with tranexamic acid to control bleeding.
You might need anti-inflammatory drugs.
In future you would require oral contraceptive pills which would be prescribed by your doctor to regulate your menstrual cycles.
You should do some exercise, yoga and meditation to control weight.
Eat a healthy, balanced diet with lots of fruits and vegetables.

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 Treatment For Pelvic Pain And Heavy Menstrual Bleeding

Hi, There are two possibilities in your case- 1) PCOS (polycystic ovarian syndrome) 2) Hormonal imbalance due to use of pills, excessive weight gain, stress and strenuous exercise. In your case, due to excessive weight gain and anovulatory cycles, there is an unopposed action of estrogen on the endometrial lining. (That is the reason for heavy menses at this time). In my opinion, you should consult a gynecologist and get yourself examined and investigations (blood profile, pelvic ultrasound, thyroid profile and hormonal profile) should be done to rule out the above-mentioned causes. You need to take iron tablets along with tranexamic acid to control bleeding. You might need anti-inflammatory drugs. In future you would require oral contraceptive pills which would be prescribed by your doctor to regulate your menstrual cycles. You should do some exercise, yoga and meditation to control weight. Eat a healthy, balanced diet with lots of fruits and vegetables. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon