Dr. Sameer Kumar
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I had an abortion a few months back but retained the gestational sac. After 39 days, I had my periods. Again I conceived three months back and had a miscarriage 5 weeks later. I am still bleeding and it is heavy bleeding with lots of blood. The blood is bright red in color. Along with the blood, there are large clots and tissues along with it. I do not feel any pain except when there is heavy bleeding I feel pain in my vagina. Is it a symptom of cancer?
Hello,
Welcome to icliniq.com.
The fact that your bleeding has not stopped even after a month of miscarriage, indicates that there is all likelihood that you may have retained products of conception.
It is mandatory to get a transvaginal ultrasound pelvis to check for endometrial thickness and for possible retained products. If the products are not seen and the endometrium is thickened, then you should opt for dilatation and curettage (D and C) for controlling bleeding.
I also assure you that this is not endometrial cancer, as it is uncommon at your age and you have an inciting cause (miscarriage) which initiated the heavy bleed. So, USG is a must.
Patient's Query
Thank you doctor,
I am currently stuck in a place where there is no proper medical facility. I have to be here for at least a month. I am not able to travel too. Will it be too late to check after a month? Is there anything I can do to stop this bleeding?
Hi,
Welcome back to icliniq.com.
If there are products of conception still present then the bleeding shall continue in spite of anti-bleeding measures. So, an ultrasound scan is a must to confirm or rule out that.
As you are stuck for a month and no medical facility is available nearby, you may try taking antifibrinolytics like tablet Tranexamic acid 500 mg thrice a day for 5 days. This shall help reduce bleeding but you have to keep yourself well hydrated as this shall bring about some dizziness, not often though but can be seen.
Let me know how you respond to it. But this is just a temporary measure at present. This is not the permanent solution for your health issue.
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Obstetrics and Gynecology
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