Hi, Welcome to icliniq.com. You are losing blood heavily. Kindly upload your reports as well. Since you are bleeding for the last 20 days continuously, first we should try to stop this. I suggest tablet Meftaris (combination of Tranexamic acid and Mefenamic acid) one tablet thrice a day for three days and also tablet Regestrone (Norethindrone) 5 mg thrice a day for 5 days.
Hello, Welcome to icliniq.com. As you are 40 years old now and this problem has not suddenly cropped up. You are having menorrhagia (heavy bleeding) from the last 5 years or so, for which you are having 1000 mg of Trenaxa to temporarily stop bleeding. That is the reason for anemia, which is low hemoglobin and feeling very weak. But please do not ignore your chest pain and swelling on legs.
Hi, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). According to the ultrasound report, it is PCOS/PMOS (polycystic ovarian syndrome/polyendocrine metabolic ovarian syndrome). All other tests ordered are normal. To confirm this by hormonal correlation, you need to get your FSH (follicle stimulating hormone) and LH (Luteinizing hormone) levels done on day 2 of cycle.
Hello, Welcome to icliniq.com. I went through your query and understood your concern. The cause for menstrual irregularity and the delay in your period can be due to PCOS (polycystic ovary syndrome)/PMOS (polyendocrine metabolic ovarian syndrome), if there is no chance of pregnancy. Your ultrasound scan report is showing an increase in the volume of the ovary, which goes in favor of PCOS/PMOS. I suggest you get the following hormone levels checked.
Hi, Welcome to icliniq.com. I think you should first get investigated for the cause of heavy bleeding. Get your routine blood tests like CBC (complete blood count), blood sugar, thyroid profile, coagulation profile and liver function tests along with a scan of abdominal organs and pelvis. If you have problem with estrogen and progesterone combination, which is present in tablet Ortho-Cyclen, then you can start with Progesterone tablets containing Norethisterone from day 5 to 25 continuously for control of bleeding. Another best way for this treatment as well as birth control is the use of Mirena (Levonorgestrel intrauterine contraceptive device).
Hi, Welcome to icliniq.com. The solution to your problem is to control your weight and thyroid status. This will not only make your cycles regular, but will also help in correcting PCOS (polycystic ovarian syndrome). Your BMI (body mass index) is 35.3, which falls in the category of morbid obesity.
Hi, Welcome to icliniq.com. First get a complete urine examination done along with urine culture. Keep a good perineal hygiene. You may use some vaginal wash. I suggest you antibiotic like Levofloxacin along with tablet Darilong (Darifenacin) once a day to treat urine infection and control urine.
Hi, Welcome to icliniq.com. There can be so many reasons for irregular heavy bleeding. It can be a part of Abnormal Uterine Bleeding which has to be found out. You need to get routine blood investigations including thyroid profile and a basic pelvic scan done. Also take regular iron to correct anemia due to heavy blood loss.
Hi, Welcome to icliniq.com. Blood in urine is called hematuria. You have blood in urine as well as burning sensation while urinating. Blood in urine has nothing to do with IUD (Intra Uterine Device). There are chances of cystitis or growth in the urinary bladder.
Hi, Welcome to icliniq.com. Yes, there are chances for the recurrence of chocolate cyst. Usually the cyst wall is removed while doing cystectomy (removal of the cyst) to decrease the chances of recurrence. For this, you can consult your gynaecologist and take only progesterones or GnRH agonists (Gonadotropin-Releasing Hormone Agonists). It is not necessary that these cysts will certainly cause symptoms and moreover the size of the cysts are small yet.
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