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What Causes Heavy Periods Despite Removal Of Multiple Fibroids?
Hi there, I have multiple fibroids, and over the course of 9 years, have had 4 operations to remove them. They keep growing back. They cause a massive amount of bleeding at period time and I have had several iron infusions at A&E due to dangerous anaemia. I still want children so hysterectomy is not an option - although on a bad day I would consider it! To control bleeding for the next 6 months while I start my new job, my gynaecologist prescribed a progesterone-only pill. Could I be estrogen dominant (reason for fibroids) and will this pill help them not grow?
Wed, 31 Aug 2022
Hello,
You have multiple fibroids and have had them removed. Presently you are continuing to have heavy bleeding. Such symptoms commonly occur when you are suffering from endometriosis or having polyps. Get clinically examined by a gynecologist and get the polyp removed and any underlying disorder that is causing the menstrual problem should be detected and treated. Progestin or tranexamic acid or nonsteroidal anti-inflammatory medications are commonly given to control and treat menstrual irregularities.
To bring excessive bleeding under control uterine artery embolization, a procedure to block blood flow to the uterus can be done. Endometrial ablation, a procedure to cauterize (remove or close off by burning) blood vessels in the endometrial lining of the uterus can be recommended by your treating gynecologist. The uterus should respond and bleeding should get controlled. If not, hysterectomy may be the only option left.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K., General & Family Physician
You have multiple fibroids and have had them removed. Presently you are continuing to have heavy bleeding. Such symptoms commonly occur when you are suffering from endometriosis or having polyps. Get clinically examined by a gynecologist and get the polyp removed and any underlying disorder that is causing the menstrual problem should be detected and treated. Progestin or tranexamic acid or nonsteroidal anti-inflammatory medications are commonly given to control and treat menstrual irregularities.
To bring excessive bleeding under control uterine artery embolization, a procedure to block blood flow to the uterus can be done. Endometrial ablation, a procedure to cauterize (remove or close off by burning) blood vessels in the endometrial lining of the uterus can be recommended by your treating gynecologist. The uterus should respond and bleeding should get controlled. If not, hysterectomy may be the only option left.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K., General & Family Physician
I find this answer helpful
Hi,
Though fibroid are not known to be estrogen dependent. Progesterone pill prevents growth of thick endometrium (the inner lining of uterus which is shed off as bleeding during menses) and thus reduces blood loss as bleeding. Thus, it would help you to some extent.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician
Though fibroid are not known to be estrogen dependent. Progesterone pill prevents growth of thick endometrium (the inner lining of uterus which is shed off as bleeding during menses) and thus reduces blood loss as bleeding. Thus, it would help you to some extent.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician
I find this answer helpful
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