I am a 43-year-old female. During my last period, I had only spotting for three days. This month I had a heavy period. Here the doctor checked my USG, blood tests, and urine test reports. She said everything is normal. She prescribed Tranexamic acid and Provera, a Progestin pill 5 mg three times a day. My endometrium was 11 mm thick. I want to change to medicine Duoluton L, a combined pill, as I am still spotting. Please advise.
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For you, as this was just the first episode of hypomenorrhea (scanty period) followed by menorrhagia (heavy period) with continuous irregular shedding in the form of spotting per vaginum, you can wait upon it to stop or can start Duoluton L (Levonorgestrel and Ethinylestradiol), ideally from day three to five of your cycle to allow it to offer combined pill as well as contraceptive effect.
The endometrium of 11 mm does not qualify you for endometrial hyperplasia. This atypical cycle can be the onset of your peri-menopausal status, which usually starts two years before the actual beginning of menopause. If you are in your mid-cycle, you can opt to add back contraception for the next seven days after starting Duoluton L. Take pills for at least two cycles with a pill-free period of seven days.
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