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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 63499
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I’m hoping you can help. I’m looking to speak to someone

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Hello I’m hoping you can help. I’m looking to speak to someone about gynaecology issue.
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Yes I saw a gynaecologist last year about this and it was mended but in the last 3 weeks it’s come back no medications
JA: What medications do you take daily? Are you allergic to any medications?
Customer: No allergic to nothing and on no medication
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: the issue last year was daily bleeding for over 6 months and I had a D&C. The bleeding stopped but now it’s back. No previous pregnancies and currently not expecting
Customer: replied 12 days ago.
Can you please confirm how long I will be waiting to hear back

Welcome to Just Answer.

Answers here are for education and information.

I will respond shortly with an answer or further information request.

What is your age?

What are your symptoms?

Customer: replied 12 days ago.
32 and bleeding vaginal every day for last 3 weeks. This occurred last year and got a D&C and it stopped. Now it’s back.

Thanks for the further information.

I am writing the answer for you and will get back to you in 3-5 minutes.

Unless you wish to speak in person, you can ignore the request for a phone call automatically generated by the website, not by me.

Thank you.

Customer: replied 12 days ago.
Thank you, ***** ***** wait for the answer in writing.
Customer: replied 12 days ago.
the issue last year was daily bleeding for over 6 months and I had a D&C. The bleeding stopped but now it’s back. No previous pregnancies and currently not.

Heavy or prolonged menstrual bleeding is a common gynecological complaint with multiple causes and diverse pathophysiological origins. Just by medical history, it is impossible to ascertain the cause. Only investigations like ultrasound and blood work for the hormones can ascertain the cause.

The following can be the causes of your prolonged bleeding:

1) Fibroids and polyps of the uterus

2) Endometrial hyperplasia; due to high estrogen.

3) Bleeding disorders.

4) Hyperinsulinemia

5) Both hypothyroidism and hyperthyroidism

6) High prolactin

7) Coagulation disorders.

8) Infections.

You may need the following investigations to ascertain the cause:

Pelvic ultrasonography

Sonohysterography (saline-infusion sonography)

Pap smear


Endometrial biopsy

Complete blood count (CBC)

Total iron-binding capacity

Human chorionic gonadotropin (hCG)

Thyroid function tests

Prolactin level

Liver function tests

Kidney function tests

Hormone assays; Luteinizing hormone, follicle-stimulating hormone, and androgen.

These investigations are done in a stepwise fashion and not all are needed in one go.

Naproxen 200 mg/Aleve (available without the prescription) one tablet 3 times a day with food for the next three days will be helpful. This will act on the hormone-like substance prostaglandin to decrease your bleeding by 30 to 50%.

This duration and amount of bleeding can cause anemia and it is high time that it is investigated by an ultrasound and blood investigations.

To stop excessive bleeding/prolonged period;

You would be prescribed cyklokapron or Tranexamic Acid/Ethamsylate. You may have to put on hormones. Following are the options;

1) Progestins

2) Gonadotropin-releasing hormone agonist; expensive

3) Danazol

4) Oral contraceptive pills.

I hope your symptoms resolve soon.

I would be happy to assist you further if you need more information.
Thanks for using JustAnswer.

Customer: replied 12 days ago.
Thank you very much for your help. I will try get an appointment with a gynaecologist. This can take months in Ireland. Do you recommend hormonal balance medication in the interm. I do feel anemic. Always tired and incredibly stressed.

Very welcome.

Yes, you would need hormone medication which will help reduce or stop the bleeding.

Customer: replied 12 days ago.
Could you recommend a hormone medication for me. My doctor isn’t great in female health

You may take a combination oral contractive pill.

We cannot prescribe here.

This is not a telemedicine website, unfortunately.

The website is only meant to provide medical education and answers specific to your questions only.

I apologize for the inconvenience.

I know that’s not what you want to hear right now.

The website is not authorized to issue any prescriptions or notes or referrals.

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