Why does bleed severely during menses?

Question

Hello doctor,

My wife is suffering from a menstrual cycle problem. She is bleeding too much, and her period continues for 7 days. Due to this, low BP, headache, and the lower back problem has started. For the last two years, she has been feeling weak and less energetic. Kindly suggest good medicines, preferably generic names.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

From the details given in your query, it seems that your wife is suffering from abnormal uterine bleeding (AUB). There are several reasons for AUB. For diagnosis, you better do one ultrasonography of the abdomen and serum for a thyroid function test. Meanwhile, I suggest taking a tablet Tranexamic acid to control bleeding.

Answer 2

Hi,

Welcome back to icliniq.com.

I have seen the reports (attachment removed to protect patient identity). The scan report is within normal limits. But, the thyroid stimulating hormone (TSH) level is quite high, which indicates that there is a lack of thyroid hormone. Moreover, your thyroid function test report has given T3 (tri-iodothyronine) and T4 values. But, FT4 (free thyroxine) is a better marker of thyroid function tests. However, it is better to consult an endocrinologist as a lack of thyroid hormone can cause bleeding. The problem in the knees is not associated with this problem.