I have irregular period with severe bleeding and stomach pain. Please help.

Hi,

Welcome to icliniq.com.

I understand your concern.

Please tell me, when did you attain menarche? Have your periods been irregular always? If yes, tell me your cycle length. Are you married? Any children? Are you taking any other medications? When were your last periods? When was this ultrasound done? According to scan reports your endometrium is thick (attachment removed to protect patient identity). You need to understand diagnostic as well as therapeutic curettage. Until then take tablet Pause MF (Tranexamic acid) three times daily for five days, and tablet Meprate 10 mg (Medroxyprogesterone) thrice daily for seven days followed by twice daily for the next week and followed by once daily for the next one week and stop. If your cycles are always irregular following the above treatment start Diane 35 for three months. Also, take Iron, Folic acid supplements to prevent anemia due to excessive blood loss. Please answer the above mentioned questions to suggest if anything extra is needed other than the mentioned treatment.

Hi,

Welcome back to icliniq.com.

Please take the medication that I have mentioned above and if it is not effective to get dilatation and currettage which is getting a layer of your endometrium and sending it for a histopathology examination. That helps in the diagnosis.

Hello,

Welcome back to icliniq.com.

Take tablet Pantoprazole once daily on empty stomach before breakfast for 15 days. It looks like you have gastric irritation. Avoid oily and spicy foods. If you still get pain take tablet Dicyclomine twice daily or whenever you have pain.

Hi,

Welcome back to icliniq.com

Please ask her to take tablet Mefenamic acid 500 mg thrice daily for five days.

Take care.