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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Prolonged Menstrual Bleeding

I have really long periods. I know they usually last a week or two at most. But i ve been on mine for almost 3 months. First of all why? i talked to my ob a while back and she said there might be a surgery to help with that. But i can t remember if it complicates having children or not. can you help me plz?
Mon, 29 Aug 2016
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Internal Medicine Specialist,  's  Response
Abnormal uterine bleeding is unfortunately a common problem. It is thought to affect around 10% of women with predominance close to menarche and menopause.

About half of abnormal bleeding is undiagnosed. Some known causes are listed below:
-bleeding disorders
-uterine fibroids
-endometrial polyps
-hypothryoidism
-endometriosis
-IUD
-adenomyosis
-infections
-some forms of birth control
-polycystic ovarian syndrome
-hyperprolactemia
-premenopausal

I would recommend:
-seeing your doctor to get started on a birth control contraceptive, particularly one with progesterone dominant. If you are on a birth control pill, you need to switch to a different type.
-NSAIDs such as ibuprofen can decrease blood flow and loss, as well as pain
-you should be screened for iron deficiency anemia, thyroid dysfunction, and bleeding disorders
-pregnancy test
-endometrial biopsy or ultrasound to rule out fibroids
-Most people respond well to medical management and surgery is not required.
-some people require high doses of estrogen or progesterone to initially control the bleeding.

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Suggest Treatment For Prolonged Menstrual Bleeding

Abnormal uterine bleeding is unfortunately a common problem. It is thought to affect around 10% of women with predominance close to menarche and menopause. About half of abnormal bleeding is undiagnosed. Some known causes are listed below: -bleeding disorders -uterine fibroids -endometrial polyps -hypothryoidism -endometriosis -IUD -adenomyosis -infections -some forms of birth control -polycystic ovarian syndrome -hyperprolactemia -premenopausal I would recommend: -seeing your doctor to get started on a birth control contraceptive, particularly one with progesterone dominant. If you are on a birth control pill, you need to switch to a different type. -NSAIDs such as ibuprofen can decrease blood flow and loss, as well as pain -you should be screened for iron deficiency anemia, thyroid dysfunction, and bleeding disorders -pregnancy test -endometrial biopsy or ultrasound to rule out fibroids -Most people respond well to medical management and surgery is not required. -some people require high doses of estrogen or progesterone to initially control the bleeding.