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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Vaginal Bleeding Along With Abdominal Cramps?

Hi, i m 48 yrs old. My menstrual hasn t been regular for years. I started having light discharged for over a month now, and i noticed that there s clots in the toilet bowl. I have mild cramps and a bloating feeling. I just wanted to see if I needed to be concern and go get check.
Thu, 14 Apr 2016
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General & Family Physician,  's  Response
Hello dear
Understand your concern
I think it is dysfunctional uterine bleeding due to hormonal imbalance in perimenopausal/menopausal state.

But you should consult the gynecologist exclude other causes like:
Endometriosis
Cervicitis
Fibroid/adenomyosis
Cancer
Ovarian cyst/follicle
Endometrial dysplasia.

You should undergo following test:
USG
Endometrial biopsy
Hormonal assay
PAP smear
Ovrian follicle study

Doctor may provide following advice:
Tablet meftal spas/ibuprfen
Tablet oral contraceptive pills or norethesterone
Tablet tranexemic acid

Hope this may help you.
Best regards
Dr. Sagar
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What Causes Prolonged Vaginal Bleeding Along With Abdominal Cramps?

Hello dear Understand your concern I think it is dysfunctional uterine bleeding due to hormonal imbalance in perimenopausal/menopausal state. But you should consult the gynecologist exclude other causes like: Endometriosis Cervicitis Fibroid/adenomyosis Cancer Ovarian cyst/follicle Endometrial dysplasia. You should undergo following test: USG Endometrial biopsy Hormonal assay PAP smear Ovrian follicle study Doctor may provide following advice: Tablet meftal spas/ibuprfen Tablet oral contraceptive pills or norethesterone Tablet tranexemic acid Hope this may help you. Best regards Dr. Sagar