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Ask Dr. Norm S. Your Own Question
Dr. Norm S.
Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11298
Experience:  Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
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, I am looking advice in relation to menstrual

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Hi ,
I am looking for some advice in relation to menstrual cycle. I have always suffered with heavy periods - very heavy ! Since a miscarriage in November 2014 they have been more severe. Throughout the miscarriage I lost 2 litres of blood and was passing 12cm clots . After 4 blood transfusions my blood count is finally back up to normal but my periods are increasingly worse and I find I am more symptomatic now then ever. Can you advise anything ?
Hello and welcome.
I am Dr. Norm, and I look forward to helping you today.
Did your periods not get lighter on combination birth control pills? Which pill did you take?
Do you wish to become pregnant now?
Has your blood been checked for a clotting disorder?
Have you tried tranexamic acid (Cyklo-F or Femstral)? Was that not helpful?
Have you had an ultrasound to look for fibroids? Thank you.
Customer: replied 3 years ago.
Hi, no they were exactly the same. I have tried mefanamic acid and tranexamic acid to no avail. My NHS doctor will not refer me for a scan and seems to palm me off .
I don't wish to become pregnant right now as I have been put off by my experience . I have considered P.I.D as I get pain sporadically. I have also considered early menopause due to side effects, I though after miscarriage and EVAC procudure that periods would become lighter due to clots being removed. I think my only option now is to privately for an ultrasound.
Am I charged per reply ?
I believe that your credit card is charged, but I don't get paid unless you accept my answer. You could check with the moderators about that.
It's quite unusual that your periods don't get lighter on combined birth control pills. They do for almost everyone. That makes me think there is a separate problem, which might be that your blood doesn't clot normally, or possibly fibroids. Fibroids are rare before age 20, so if you were having heavy periods before age 20, it's probably from something else.
Another option would be the progesterone IUD Mirena. It causes lighter periods in most women, including women with fibroids. Many women stop having period after some months with the Mirena.
Since you needed 4 transfusions, I would think that would qualify you to see an OB/GYN specialist for consultation. You are not the average woman with heavy periods. In my opinion you would be better going private to see an OB/GYN doctor than to get an ultrasound (which would probably be normal).
PID can cause pain, but doesn't generally cause heavy periods. Menopause can sometimes cause heavy periods, but that would cause sporadic heavy periods, not every period.
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