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HomeAnswersObstetrics and GynecologymenorrhagiaPlease suggest ways to stop prolonged menstrual bleeding.

How to stop prolonged menstrual bleeding?

How to stop prolonged menstrual bleeding?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sonal Prasad

Medically reviewed by

iCliniq medical review team

Published At November 21, 2016
Reviewed AtJuly 3, 2023

Patient's Query

Hi doctor,

I am suffering from prolonged menstrual bleeding. The bleeding did not stop for the past one month. I have PCOD and I am overweight. How to stop the bleeding? Please help.

Answered by Dr. Sonal Prasad

Hello,

Welcome to icliniq.com.

PCOD - polycystic ovarian disease often gets presented with heavy menstruation. I suggest tablet Primolut N 5 mg (Norethisterone) one tablet three times a day till bleeding stops. Consult your doctor, discuss with him or her and take the medicine with consent. This will keep your bleeding in control for this cycle. From next cycle, you must start your OCP (oral contraceptive pill) such as Novelon (combination of Desogestrel and Ethinylestradiol) one tablet a day from the first day of cycle for 21 days and stop for the next 7 days. Please make sure that you get your hormonal profile done such as serum LH (luteinizing hormone), FSH (follicle stimulating hormone), estradiol and testosterone done. Also, get thyroid (TSH) and prolactin (PRL) done. Since you are overweight, you must also get fasting blood sugar (FBS) and fasting insulin done. If they are high, then I suggest tablet Metformin to your usual OCP treatment. It is also advisable to get a hemoglobin estimation done as you have bled for a long time now. I suggest tablet Orofer XT (iron supplement) once a day to make up for blood loss.

Investigations to be done

Hb, TSH, PRL, FBS, fasting insulin and hormonal profile (LH, FSH and estradiol).

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

Dr. Sonal Prasad
Dr. Sonal Prasad

Obstetrics and Gynecology

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