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Why do I have heavy or prolonged menstrual periods and how to treat it? - Dr. Shefali Tyagi
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This is a very common complaint that many people have. Either they complain of the flow being excessive, if they are used to changing 3 pads, it goes to 6 or 7 or maybe 10 to 20 pads. Or it can also be a prolonged cycle. Instead of stopping in 5 to 7 days, it can do to 10 to 15 or maybe a month or so. In these cases, you have to be in touch with your doctor..
The reason for the heavy period also results in which age group you are. When you are young, i.e till 25 to 30, the most common reason is hormonal imbalance. One of the reasons could be poly cystic ovarian disease, so you need to be investigated for that. Start exercising, lose weight, regularize your cycle and sort out the problem. .
In an older age group, the worry might be that you are harboring some signs of cancer which doctors might have not picked up. So when the ultrasound needs to be done to rule out other problems including cancer. Other problems can be fibroids or adenomyosis which thickens the wall of the uterus or thickened endometrium or lining of the uterus. If none of them is there, then we assume its a hormonal imbalance.
All of these can be sorted by medicine or surgery. If you are overweight, exercise and lose weight. There are other medicines available as well. It could be a contraceptive pill, it can be only progesterone tablets and it can be blood coagulators. .
There is also an option of Mirena which is an intra uterine device. A little hormone is secreted everyday in the lining of the uterus and a majority of women stop with their cycles in six months time. Surgery can be avoided by getting Mirena inserted. .
In case none of these help you and you are in an older age group, hysterectomy can be advised. There are other procedures available before we talk about surgery like thermal balloon and burning the lining of the uterus by heat. If these also don't work, then you can go ahead and get the uterus removed..
First we have to find the cause for heavy menstrual bleeding and nowadays, with the medicines available, Mirena and other treatments, surgeries have become quite less. There is a misconception that after the bleeding increases month on month, patients think of surgery. Surgery should be the last option as its a major surgery.First you have to seek the opinion of the gynecologist. Under various medication, up to 80 percent of the blood flow can be stopped..
The reason for the heavy period also results in which age group you are. When you are young, i.e till 25 to 30, the most common reason is hormonal imbalance. One of the reasons could be poly cystic ovarian disease, so you need to be investigated for that. Start exercising, lose weight, regularize your cycle and sort out the problem. .
In an older age group, the worry might be that you are harboring some signs of cancer which doctors might have not picked up. So when the ultrasound needs to be done to rule out other problems including cancer. Other problems can be fibroids or adenomyosis which thickens the wall of the uterus or thickened endometrium or lining of the uterus. If none of them is there, then we assume its a hormonal imbalance.
All of these can be sorted by medicine or surgery. If you are overweight, exercise and lose weight. There are other medicines available as well. It could be a contraceptive pill, it can be only progesterone tablets and it can be blood coagulators. .
There is also an option of Mirena which is an intra uterine device. A little hormone is secreted everyday in the lining of the uterus and a majority of women stop with their cycles in six months time. Surgery can be avoided by getting Mirena inserted. .
In case none of these help you and you are in an older age group, hysterectomy can be advised. There are other procedures available before we talk about surgery like thermal balloon and burning the lining of the uterus by heat. If these also don't work, then you can go ahead and get the uterus removed..
First we have to find the cause for heavy menstrual bleeding and nowadays, with the medicines available, Mirena and other treatments, surgeries have become quite less. There is a misconception that after the bleeding increases month on month, patients think of surgery. Surgery should be the last option as its a major surgery.First you have to seek the opinion of the gynecologist. Under various medication, up to 80 percent of the blood flow can be stopped..
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