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Unless I take progesterone, I am bleeding continuously. Why?

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Patient's Query

Hi doctor,

I am 5'10" and 250 lbs. I am 28 years old. I have a history of PCOS, had an endometrial biopsy, and it came back negative for hyperplasia and malignancy. The reason for my visit was period started with passing large clots and continuous period. Currently, I am menstruating for three months. When I was given progesterone, the bleeding stopped for three days and started again. Also, passing flesh-colored tissue and not clots. I also have NAFLD. I had an ultrasound for my mild pain on left ovary and colon area. My uterus was found to have two fibroids with 18 mm endometrial lining. What do you think with the given history? What to do next?
Answered by Dr. Sameer Kumar

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

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Hello,

Welcome to icliniq.com.

This is a typical progesterone deficiency where you should ideally be started on cyclical progesterone therapy from day 11 to day 25 of your cycle or on continuous progesterone therapy for three months. You should take treatment for at least three months to control menorrhagia and passage of clots. The present bleeding can be stopped with antifibrinolytics and then progesterone pills can be started. You may send your ultrasound reports and also the endometrial biopsy reports for review. Thank you.

Medically reviewed by iCliniq medical review team
Published At February 8, 2017
Reviewed At July 7, 2023

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

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. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Sameer Kumar is a highly qualified Obstetrician and Gynecologist and Infertility specialist with more than two decades of clinical experience. He has completed his postgraduate training in Obstetrics and Gynecology and also specializes in infertility management. Dr. Kumar is dedicated to women’s health, offering expert care in pregnancy, reproductive health, and fertility treatments. His patient-centered approach combines medical expertise with compassionate support to ensure the best outcomes for his patients. Note: If you don't want go opt for IVF and spend lakhs, then you must contact me as i specialize in medical infertility treatment for both male and female. Results have been really encouraging and statistics speak for itself, about 2000 couples helped and avoided IVF.

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

Consult other doctors in the same speciality
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Read answers about:

cyclical progesterone therapyantifibrinolyticsprogesterone deficiencypolycystic ovary syndrome (pcos)endometrial biopsymenorrhagia

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