Q. How to stop prolonged menstrual bleeding?

Answered by

and medically reviewed by iCliniq medical review team.

Published on Nov 21, 2016

How to stop prolonged menstrual bleeding?

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.

Answer

Dr. Sonal Prasad

Childbirth Educator Lactation Counselor Obstetrics And Gynaecology

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.

The Probable causes:

PCOD.
Menorrhagia.

Investigations to be done:

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

Treatment plan:

Cyclical OCP after bleeding controlled.

Regarding follow up:

Revert back after a month to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist