What causes prolonged menstrual bleeding?
Patient's Query
Hello doctor,
I am experiencing prolonged bleeding. I am on my eleventh day of my period, but the bleeding is still ongoing, and it is heavy. I have lower abdomen pain and back pain. This is the first time I am having prolonged bleeding; otherwise, I have a normal three to five-day period.
Please help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
The possible causes of heavy menstrual bleeding:
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A foreign body that can be polyp or IUCD (intrauterine contraceptive device) for the first three to four days after insertion.
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Fibroid, the most common type of fibroid that causes heavy bleeding are submucosal fibroid and intramural fibroid (because of distorting the uterine cavity).
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Adenomyosis.
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PID (pelvic inflammatory disease).
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Bleeding disorder.
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Thyroid disease.
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Ovarian mass.
I have seen the ultrasound report (attachment removed to protect the patient’s identity). There was a small subcentimeter fibroid and evidence of adenomyosis.
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CBC (complete blood count).
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FT4 (free thyroxine).
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TSH (thyroid-stimulating hormone).
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Serum prolactin.
I would suggest medical management, as most cases of heavy bleeding should be managed medically for the first 3 months.
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Tablet Tranexamic Acid 500 mg (antifibrinolytics), two times a day for five days.
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Tablet Mefenamic acid 500 mg (nonsteroidal anti-inflammatory drug), two times a day for five days.
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Tablet Norethisterone 5 mg (norethindrone acetate), three times a day for one month.
Consult your doctor and take the medicines accordingly.
I hope I have answered your question.
Let me know if I can assist you further.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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