What could be the reason for severe bleeding after taking I-pills?

Hi,

Welcome to icliniq.com.

I understand your concern.

I Pill is a high dose of Progesterone hormone, the same hormone that is produced in your body in the second half of the period after ovulation. This pill will suddenly increase the thickness of the inner lining of the uterus, making it unfavorable for a possible pregnancy to implant. As it is a single dose, it has no strength to stand on, so it falls off and you get periods or bleeding of the increased thickness within seven to 10 days of taking the pill. This bleeding will be thick, fleshy pieces, dark red or brown, with slight lower abdominal pain till the bleeding is really reduced. The second dose of I-pill was not needed. The bleeding you had was the withdrawal bleeding after the pills, so it means your pill has worked and there is no pregnancy. You have your weight above the normal limit, so this could be the response to the altered hormonal balance in your body.

From your history, I presume you have PCOD ( Polycystic ovarian disease). This is a congenital condition, a genetically programmed condition, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone ( if I may simulate- have you seen obese men developing breast and young obese girls, who develop periods at a younger age - they all have high levels of estrogen hormone or female hormone). In your body too, when fat, this is converted to hormone which tips the balance between follicle-stimulating hormone (from the brain ) and the ovarian hormone. FSH, as the name suggests stimulates follicles from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain is confused and the follicle growth stops early at a smaller follicle size and will not rupture. In the next scan, you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problems indirectly. You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. Excessive body hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face skin, black skin over the back of the neck, inner thighs, and under the surface of the breast. You may have a family history of diabetes, especially your father or his family. This will not allow ovulation to occur at time, so you can not get pregnant, till treated. It also increases your chances of early pregnancy abortions. Your weight has to be:

Weight(in Kgs)= Height (in cms)-100

Your expected weight is 114 to 125 pounds. Once you reduce weight to the normal range, you will not need any medicine to get periods or to get pregnant. To reduce weight, I suggest

1. Do not fast.

2. Avoid junk food or fast food, red meat, and reduce snacks in between meals.

3. Have food low in calories and high in protein.

4. Regular exercise ( especially for the waist and hip area), aerobics, yoga, brisk walking (swing your hands well), try to reduce four to eight pounds in a month. Do not hurry on weight reduction, it will be difficult to maintain. You will see changes as the weight reduces. These Pills disturb the hormonal balance in a normal-weight person, so with already a hormonal imbalance, periods will be further disturbed.

Now to control the bleeding I suggest having tablet Trapic 650 or Tranostat or Pause (Tranexamic acid 500 mg) one tablet thrice a day. The bleeding will stop. You can have any of the birth control pills- like tablet Novelone (Ethinyl Estradiol 0.03 mg and Desogestrel 0.15 mg) or Ovral-G (Norgestrel 0.5 mg and Ethinyl estradiol 0.05 mg) - one tablet at night for 21 days, then no pills for seven days. Start the next packet from the eighth day. Have this for three to six cycles. This will give you regular cycles, correct your hormonal balance, give hundred percent contraception, and also some time to reduce weight. You can have it for a longer duration of months or years as a contraceptive. It has no side effects.

I hope this information will help you.

Please revert in case of further queries.

Thank you.