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What Causes Prolonged Vaginal Bleeding During Menstruation?
Hello i am 21 years old female i had my son 1/17/14 and so three months after having him lost inaurance and never when back to my obgyn for a checkup and now almoat two years later i am still bleeding off and on everyday or itll maybe stop for a week its not a norml period in which i did have for a couple months after having him, also the last appointment with my ob gyn he put the nexplanon in my left arm and its supposed to come out in 2017. I also have a history of ovrian cyst but i believe they havnt ruptured which is what i thought the bleeding was still but there is noo pain really inless i have sex. Is there anything you believe it could be? Is it serious? I mean its going on two years now of bleeding
Fri, 19 Feb 2016
Thanks for the enquiry posted,
To address your chief complaint, it is mentioned that you are suffering from a postpartum abnormal uterine bleeding while keeping NEXPLANON (Inserted in arm containing etonogestrel). There are several causes may induce abnormal uterine bleeding (AUB) including hormonal reasons, ovarian diseases, uterine fibroids, polyps, adenomyosis (endometrium embedded in uterine muscle), endometriosis (tissue embedded in uterus wall), very rarely in your case cancers, coagulation disorders, infections, etc.
According to the instructions posted by you, it is likely nexplanon have caused menorrhagia (unusual bleeding) in your case, however, to rule out other reasons you are recommended to do tests following:
1. Routine urinalysis and culture, Blood routine tests, Thyroid tests, etc.
2. Pap smear.
3. You may demand Sonography, hysteroscopy and biopsy with dilation and curettage after visualizing cervix, bimanual and rectovaginal exams performed by your gynecologist.
In case of persistent, uncontrolled menorrhagia due to your NEXPLANON, you may demand removal the implant from your arm and using a substitution method for pregnancy prevention.
Hope you find my recommendations useful,
Regards
To address your chief complaint, it is mentioned that you are suffering from a postpartum abnormal uterine bleeding while keeping NEXPLANON (Inserted in arm containing etonogestrel). There are several causes may induce abnormal uterine bleeding (AUB) including hormonal reasons, ovarian diseases, uterine fibroids, polyps, adenomyosis (endometrium embedded in uterine muscle), endometriosis (tissue embedded in uterus wall), very rarely in your case cancers, coagulation disorders, infections, etc.
According to the instructions posted by you, it is likely nexplanon have caused menorrhagia (unusual bleeding) in your case, however, to rule out other reasons you are recommended to do tests following:
1. Routine urinalysis and culture, Blood routine tests, Thyroid tests, etc.
2. Pap smear.
3. You may demand Sonography, hysteroscopy and biopsy with dilation and curettage after visualizing cervix, bimanual and rectovaginal exams performed by your gynecologist.
In case of persistent, uncontrolled menorrhagia due to your NEXPLANON, you may demand removal the implant from your arm and using a substitution method for pregnancy prevention.
Hope you find my recommendations useful,
Regards
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