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Can hormonal imbalance cause excessive menstrual bleeding?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have very irregular periods and the longest cycle I have ever had lasted four days. Out of the blue, I started bleeding heavily with clots. Today marks three weeks of bleeding and clots. The doctor prescribed Medroxyprogesterone pills to help stop the bleeding. I am on day six of taking them, and my bleeding and clots have actually worsened. I have also been experiencing bloating, changes in bowel patterns, and pelvic pressure for months.

Please help.

Answered by Dr. Chibitam Hope Obia

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I am very sorry to hear about your medical condition, and I am glad that you are paying attention to the changes in your body. But do not worry, I am here to take care of you.

Regarding your symptoms, I believe you may have developed menorrhagia, which is excessive menstrual bleeding possibly due to hormonal imbalance. May I ask if you took a pregnancy test before the bleeding started? This could also indicate a spontaneous abortion. Please undergo a hormone profile test and share the results with me. In the meantime, please take the following:

  1. Injection of conjugated Progestin 15 mg every eight hours until the bleeding stops.
  2. One tablet of vitamin K (4 mg) by mouth three times a day for one week.
  3. Two tablets of ferrous sulfate, an iron supplement (220 mg) by mouth three times a day for one month. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

If your symptoms persist, please schedule a follow-up appointment via chat, phone, or video consultation.

Thank you.

Medically reviewed by iCliniq medical review team
Published At December 30, 2024
Reviewed At December 30, 2024

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

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