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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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.

Answered by Dr. Sangeeta Milap

Education:

MBBS

Professional Bio:

Dr. Sangeeta Milap is an Obstetrician and Gynecologist with 42 years of clinical experience. She did her MBBS and MS in Obstetrics and Gynecology from Sarojini Naidu Medical College. She is interested in treating infertility issues (an infertile couple and their problems). Additionally, she is available for consultation on all non-emergency obstetric conditions and gynecological problems.

This doctor is not available for online consultations on the platform anymore.

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The ongoing bleeding may be triggered by abnormal uterine bleeding or due to an infection brought on by an outdated intrauterine device.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

Patient's Query

Hello doctor.

I have not taken any I-pill, and I am not currently experiencing any thyroid or vaginal discharge issues. Approximately two years ago, the intrauterine device was placed. The latest menstrual cycle began around 16 days ago and is still going strong.

Please help.

Answered by Dr. Sangeeta Milap

Education:

MBBS

Professional Bio:

Dr. Sangeeta Milap is an Obstetrician and Gynecologist with 42 years of clinical experience. She did her MBBS and MS in Obstetrics and Gynecology from Sarojini Naidu Medical College. She is interested in treating infertility issues (an infertile couple and their problems). Additionally, she is available for consultation on all non-emergency obstetric conditions and gynecological problems.

This doctor is not available for online consultations on the platform anymore.

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.

Medically reviewed by iCliniq medical review team
Published At December 6, 2023
Reviewed At December 8, 2023

Education:

MBBS

Professional Bio:

Dr. Sangeeta Milap is an Obstetrician and Gynecologist with 42 years of clinical experience. She did her MBBS and MS in Obstetrics and Gynecology from Sarojini Naidu Medical College. She is interested in treating infertility issues (an infertile couple and their problems). Additionally, she is available for consultation on all non-emergency obstetric conditions and gynecological problems.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Sangeeta Milap is an Obstetrician and Gynecologist with 42 years of clinical experience. She did her MBBS and MS in Obstetrics and Gynecology from Sarojini Naidu Medical College. She is interested in treating infertility issues (an infertile couple and their problems). Additionally, she is available for consultation on all non-emergency obstetric conditions and gynecological problems.

This doctor is not available for online consultations on the platform anymore.

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