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Dr Basu
Dr Basu, Experienced Specialist
Category: OB GYN
Satisfied Customers: 46888
Experience:  MD
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Im getting big period blood clots. Usually the first couple

Customer Question

Hi, im getting big period blood clots. Usually the first couple of days and it was like this for long period of time.
JA: Are you in any pain? How regular are your periods?
Customer: First three days i feel the pain but then it gets better. My period is regular
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: We are also trying for a baby more then a year now
Submitted: 5 days ago.
Category: OB GYN
Expert:  Dr Basu replied 5 days ago.

Dear Customer: Greetings, this is Dr. Basu, experienced Medical Specialist and former attending physician of Harvard Medical School. I am double board-certified with many years of experience. I did review your inquiry and I am hoping to give you at least some high quality
guidance here. Please ignore any call requests as they are automated responses by the website and not sent by the experts! TEXTING would be fine.
Please give me some time to review your concerns. Please be patient with me as I am on and off the computer so responses can be delayed at times, but I will be glad to help.

Expert:  Dr Basu replied 5 days ago.

There is chance of pregnancy and moscarriage if you had unprotected sexual intercourse within last 2 weeks.

You should take urine pregnancy test.

Your hormones are not in balance.

Excessive androgen level will disrupt estrogen peak and there will not be any ovulation.

That causes progesterone deficiency.

Thyroid hormone deficiency, estrogen, progesterone, prolactin, 17 OHP, testosterone levels should be checked by blood tests.

Pelvic inflammatory disease also can cause infertility and irregular menses.

Other possibilities can be uterus fibroid, adenomyosis, endometriosis, cervical polyps, ectropion, endometrial hyperplasia, coagulation disorders.

These causes should be checked with pelvic ultrasound.

Combination oral contraceptive pill containing ethinyl estradiol and levonorgestrel will help to regulate cycle.

Naturally, Vitex supplement 400 mg daily, Zinc 50 mg, magnesium 400 mg and Berberine extract 500 mg daily should help.

Over the counter Naproxen sodium 220mg each can be taken 3 pills at a time twice daily for 3-4 days to stop the bleeding.

Polycystic Ovarian syndrome is also treated with non hormonal options like Metformin which helps you to lose weight and lower insulin resistance, thereby improving hormone balance.

Since this has been going on for a while, you need blood tests, ultrasound and consultation with gynecologist.

Polycystic ovarian syndrome ( PCOS) is the likely diagnosis and treatment as above after confirmation.

Weight loss, high fiber diet, regular exercise will also help.

Continuous heavy bleeding can be stopped by prescribing Norethindrone 5 mg tablet twice daily for 5-10 days.