What are the ways to treat irregular periods in obese people?

Question

Hello doctor,

I have been having periods for about 20 days and am currently 191.8 lbs for my height of 5 feet 3 inches. I have psoriasis and use a Silverline Cu200 Ag intrauterine device. The periods began around 16 days ago and have not stopped, nor has the flow changed. My daily life has been difficult.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

The ongoing bleeding may be triggered by abnormal uterine bleeding or due to an infection brought on by an outdated intrauterine device. I hope you have not taken any tablets like I-pill. Are you married, do you have any vaginal discharge, and do you have a thyroid issue? When was the uterine device placed? I suggest you take the following medication-

Tablet Cefi 200g (cephalosporin) antibiotic tablet twice a day. Until the bleeding stops, take two tablets of Etosys MF (Tranexamic acid and Mefenamic acid ) daily.

Please let me know when your most recent menstrual cycle was.

Thank you

Answer 2

Hello,

Welcome back to icliniq.com.

Are you married, even though you should have an intrauterine device in place, I hope you checked for pregnancy. Did you miss any dates before last month? Please have a CBC (complete blood count), thyroid function tests, beta HCG (human chorionic gonadotropin), serum prolactin, serum testosterone, serum FSH (follicle stimulating hormone), and lh (inguinal hernia), and an ultrasound of the abdomen and pelvis and report back. I would like you to be evaluated by a gynecologist for bleeding.

I hope this helps.

Thank you.