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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heavy Vaginal Bleeding And Clot Discharge With History Of Tubal Ligation?

HELLO, I AM 27 YEARS OLD I HAVE HAD 6 PREGNANCIES 2 SUCCESSFUL 1 MISCARRAIGE AND 3 ABORTIONS. I HAD A TUBAL LIGATION DONE IN 2013, SINCE THEN I HAVE HAD REGULAR PERIODS LASTING NO MORE THAN 6 DAYS. STARTING IN DEC I MISSED MY PERIOD FOR ALMOST 3 MONTHS. 3 WEEKS AGO I STARTED BLEEDING BUT I HAS GOTTEN HEAVIER AND I AM PASSING LARGE AND SMALL CLOTS ALL DAY. I HAD A DR APPT WHICH THEY TOOK BLOOD I AM SCHEDULED TO GO BACK MONDAY FOR A ULTRASOUND. WHAT COULD BE MY PROBLEM, PLEASE HELP
Wed, 2 Aug 2023
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General & Family Physician 's  Response
Hello,

In my opinion, heavy period bleeding is most likely due to uterine fibroids. They cause heavy bleeding with clots and can be diagnosed easily on ultrasound which you already have scheduled. Since your doctor has taken your blood sample for APTT, they will check if you have a bleeding or clotting disorder.

Do answer the following questions:
1) Bleeding from any other part of the body.
2. Bleeding from gums when brushing teeth
3. Any bruises on your body, if yes how frequently do you get these
4) Family member with bleeding disorders

If you have these symptoms, then bleeding or clotting disorder could be the underlying cause (which also be confirmed once you get the APPT test results) if you have never had any of these, then fibroid is likely the cause which will be confirmed on ultrasound. Just wait for the results and get the ultrasound done, so any cause diagnosed could be treated accordingly.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Hiba Tehrim, General & Family Physician
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What Causes Heavy Vaginal Bleeding And Clot Discharge With History Of Tubal Ligation?

Hello, In my opinion, heavy period bleeding is most likely due to uterine fibroids. They cause heavy bleeding with clots and can be diagnosed easily on ultrasound which you already have scheduled. Since your doctor has taken your blood sample for APTT, they will check if you have a bleeding or clotting disorder. Do answer the following questions: 1) Bleeding from any other part of the body. 2. Bleeding from gums when brushing teeth 3. Any bruises on your body, if yes how frequently do you get these 4) Family member with bleeding disorders If you have these symptoms, then bleeding or clotting disorder could be the underlying cause (which also be confirmed once you get the APPT test results) if you have never had any of these, then fibroid is likely the cause which will be confirmed on ultrasound. Just wait for the results and get the ultrasound done, so any cause diagnosed could be treated accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Hiba Tehrim, General & Family Physician