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What causes irregular periods and heavy menstrual bleeding?

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

Patient's Query

Hi doctor,

I am a 30-year-old female with heavy bleeding and irregular periods. This year, I had my first period five months back, and the second one a month back. But I have been bleeding for 15 days continuously. So please suggest medicine for the bleeding.

Thank you.
Answered by Dr. Priyadarshini Tripathy

Education:

MS Obstetrics and Gynecology

Professional Bio:

  Dr. Priyadarshini Tripathy is a board-certified Obstetrician and Gynecologist. She is a highly qualified specialist. She completed her MBBS and MS in Obstetrics and Gynecology from Utkal University, India. Following that, she worked in the United Kingdom at the Oxford University Hospital’s Fetal Medicine Unit with a training focus on high-risk obstetrics and obstetric ultrasound. She later moved to Australia and trained herself at one of the country’s largest maternity hospitals, Monash Health, Melbourne. She has also been trained as a fellow in Laparoscopic Minimal Access Surgery (FMAS), Colposcopy, and Preventive Oncology from some of the premier institutes in India. She has acquired extensive experience in the specialty over this time, and the variety of exposure has enriched her skills and is also a highly qualified academician. She is actively involved in numerous clinical trials and medical research in infertility, PCOS, and perinatal mental health. 

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Hi

Welcome to icliniq.com.

I went through your post and understood your concern. Irregular bleeding at thirty-plus years of age is quite common. The common causes include PCOS (Polycystic ovary syndrome), fibroid uterus, adenomyotic uterus or increased uterine thickness, hormonal imbalances, thyroid disorders, polyps, and infections inside the uterus. It is important to know the reasons behind your abnormal bleeding and give adequate treatment.

Abnormal uterine bleeding can predispose women to precancerous endometrial conditions such as hyperplasia, which occurs when the lining of the uterus thickens and has a future cancerous risk. You need to do the below investigations to know the diagnosis. You can start the tablet below and take it for three days. It will decrease the bleeding transiently.

Thank you.

Investigations to be done

CBC -Complete blood count, Sr TSH - Thyroid stimulating hormone test, Sr Vitamin D assay, Ultrasound of pelvis to comment on endometrial thickness.

Treatment plan

Tablet Tranexa NF- 1 tablet twice a day after food for three days.

Regarding follow up

Follow up with the reports.
Medically reviewed by iCliniq medical review team
Published At December 16, 2022
Reviewed At June 21, 2024

Education:

MS Obstetrics and Gynecology

Professional Bio:

  Dr. Priyadarshini Tripathy is a board-certified Obstetrician and Gynecologist. She is a highly qualified specialist. She completed her MBBS and MS in Obstetrics and Gynecology from Utkal University, India. Following that, she worked in the United Kingdom at the Oxford University Hospital’s Fetal Medicine Unit with a training focus on high-risk obstetrics and obstetric ultrasound. She later moved to Australia and trained herself at one of the country’s largest maternity hospitals, Monash Health, Melbourne. She has also been trained as a fellow in Laparoscopic Minimal Access Surgery (FMAS), Colposcopy, and Preventive Oncology from some of the premier institutes in India. She has acquired extensive experience in the specialty over this time, and the variety of exposure has enriched her skills and is also a highly qualified academician. She is actively involved in numerous clinical trials and medical research in infertility, PCOS, and perinatal mental health. 

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

Consult other doctors in the same speciality

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

Dr. Priyadarshini Tripathy
Dr. Priyadarshini Tripathy

Obstetrics and Gynecology

Consult this doctor

Education:

MS Obstetrics and Gynecology

Professional Bio:

  Dr. Priyadarshini Tripathy is a board-certified Obstetrician and Gynecologist. She is a highly qualified specialist. She completed her MBBS and MS in Obstetrics and Gynecology from Utkal University, India. Following that, she worked in the United Kingdom at the Oxford University Hospital’s Fetal Medicine Unit with a training focus on high-risk obstetrics and obstetric ultrasound. She later moved to Australia and trained herself at one of the country’s largest maternity hospitals, Monash Health, Melbourne. She has also been trained as a fellow in Laparoscopic Minimal Access Surgery (FMAS), Colposcopy, and Preventive Oncology from some of the premier institutes in India. She has acquired extensive experience in the specialty over this time, and the variety of exposure has enriched her skills and is also a highly qualified academician. She is actively involved in numerous clinical trials and medical research in infertility, PCOS, and perinatal mental health. 

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

Consult other doctors in the same speciality
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