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irregular menses
Discussion in 'All Categories' started by Nandita - May 2nd, 2012 2:38 am.
Hi, I am Nandita Age 27years, married. i hav not conceive at present. but my plan for conceiving after 4 months.My mensis are irregular. when i use to take medicines it becamr regular for 4 to 5 months & then it again deregularise & it delayed for one & half months or 2 months or more. the same happens for marriage too. i hav consult the doctor before marriage she said that it will be normal after marriage. now again i hav consulted with another gyanae. as per her my blood reports are normal but TSH is 4.60. she recommended me Meprate, Jubliana, Thyromerm & evecare. even i hav put my weight. suggest me could i conceive normally? what precaution i have to take?what i hav to taken in diet & how to control weight? my weight at present is 65 kg.
re: irregular menses by Dr J S Chowhan - May 2nd, 2012 11:18 am
Dr J S Chowhan
Dr J S Chowhan
Dear Nandita

Too frequent periods, missed periods, spotting or bouts of heavy bleeding and clotting usually occur due to underlying hormonal imbalance within your body which hormonal imbalance can be treated easily. Normal vaginal bleeding occurs as a result of cyclic hormonal changes. The ovaries would be the main source of female hormones, which control the introduction of female body characteristics such as the breasts, physique, and the body hair. The hormones also regulate the menstrual period. The ovary, or female gonad, is just one of a set of reproductive glands in females. They are located in the pelvis, one on both sides of the uterus. Each ovary is one of the shape and size of an almond. The ovaries produce eggs and feminine hormones. During each monthly menstrual cycle, an egg is released in one ovary. The egg travels from the ovary through a Fallopian tube towards the uterus.

There are many important reasons that menorrhagia should be evaluated with a doctor. First, menorrhagia may cause a lady substantial emotional distress and physical symptoms, such as severe cramping . Second, the blood loss is really so severe it causes a dangerously lowered blood count (anemia), be responsible for medical complications and symptoms such as dizziness and fainting. Third, there can be dangerous causes of menorrhagia that require more urgent treatment.

However, there are lots of causes of menorrhagia, in most women, the specific reason for menorrhagia isn't found even after a full medical evaluation. These women have been demonstrated to have dysfunctional uterine bleeding. Although no specific reason for the abnormal vaginal bleeding is found in women with dysfunctional uterine bleeding, there are treatments open to reduce the severity of the problem.

A woman that has irregular menstrual periods requires a physical examination with a special focus on the thyroid, breast, and pelvic area. During the pelvic examination, the doctor tries to detect cervical polyps or any unusual masses within the uterus or ovaries.

A Pap smear is also completed to eliminate cervical cancer. As the Pap smear has been obtained, samples may be taken from the cervix to check for the presence of infections such as chlamydia or gonorrhea.

A blood count might be done to rule out a minimal blood count (anemia) caused by excessive hemorrhaging.

If something in the patient medical background or physical examination raises a doctors suspicion, tests to rule out certain blood clotting disorders might be done.

Sometimes, a blood sample is going to be tested to judge thyroid function, liver function, or kidney function abnormalities.

A blood test for progesterone levels or daily body temperature charting may be recommended to verify that the woman ovulates.

If the doctor suspects the ovaries are failing, for example with menopause, blood levels of follicle-stimulating hormone (FSH) might be tested.

Additional blood hormone tests are done when the doctor suspects polycystic ovary, or maybe excessive hair regrowth exists.

A pelvic ultrasound is often performed based on the woman's medical history and pelvic examination.

Treatment for irregular vaginal bleeding depends on the underlying cause. Following the cause is decided, a doctor decides if treatment methods are actually necessary. Sometimes, all that is needed is perfect for dangerous causes to become ruled out and to determine the irregular vaginal bleeding doesn't bother the woman enough to warrant medication or treatment. If thyroid, liver, kidney, or blood clotting problems are discovered, treatment methods are targeted at these conditions.

If the cause of the bleeding is lack of ovulation, doctors may prescribe either progesterone to be taken at regular intervals, or perhaps an oral contraceptive, containing progesterone, to attain an effective hormonal balance. Such treatment dramatically decreases the risk of uterine cancer in women who don't ovulate.

If the reason for irregular vaginal bleeding is a precancerous alternation in the liner from the uterus, progesterone medications might be prescribed to reduce the buildup of precancerous uterine lining tissues so that they can avoid surgery.

When a woman has been without menses for less than six months and is bleeding irregularly, the cause may be menopausal transition. In this transition, a lady may also be offered a dental contraceptive to establish a far more regular bleeding pattern, to supply contraception until she completes menopause, and also to relieve hot flashes. A lady who is discovered to be menopausal as the cause of her irregular bleeding may also receive menopause counseling if she has troubling symptoms.

If the cause of irregular vaginal bleeding is polyps or any other benign growths, these are sometimes removed surgically to manage bleeding because they can't be treated with medication.

If the reason for bleeding is infection, antibiotics are essential. Bleeding while pregnant requires urgent evaluation by an obstetrician. Endometriosis can be treated with medications and/or laparoscopy.

Sometimes, the cause of excessive bleeding is not apparent after completion of testing (dysfunctional uterine bleeding). In these cases, oral contraceptives can improve cycle control and lessen bleeding.

If bleeding is excessive and cannot be controlled by medication, surgery called dilation and curettage (D&C) may be necessary. In addition to alleviating the excessive bleeding, the D&C provides additional information that can eliminate abnormalities from the lining of the uterus.

Occasionally, a hysterectomy is necessary when hormonal medications cannot control excessive bleeding. However, unless the reason is pre-cancerous or cancerous, this surgery should only be an option after other solutions happen to be tried.

Many new procedures are now being designed to treat certain types of irregular vaginal bleeding. For example, research is underway to evaluate techniques that selectively block the blood vessels active in the bleeding. These newer methods might be less complicated choices for some patients so that as they are further evaluated they'll likely become more accessible.

Please consult a good gynecologist and get the above mentioned investigation done.

Please do not hesitate if you have any further query.

With regards

J.S. Chowhan
re: irregular menses by Ricky - May 31st, 2012 2:54 pm
pregnancy-unexplained bleeding?I am 17 weeks peannrgt , last LMP was 08-03-10. I have had spottingon april 29 which lasted for few hrs. Since then I have been inserting crinone 8% once at night.At week 13 I had extreme shooting contraction like pains in the left groin for a day after which i bled the next morning with dark colored clots.I was hospitalized and was given intravenous duvadilan drips for 48 hrs. The bleeding stopped in few hrs of hospitalization pain after few days. The sonography showed a healthy baby and os closed.All blood tests were carried and reports were normal.I m continuing with duvadilan twice a day, crinone gel once at night gasex in case of gastric, prenatal shell cal (both given from 24 june),also i was on moderate bed rest, cervix birth canal mesured 3.1 cms. on 16 weeks scan as against 3.7 on week 13.Again on 28 I got cramps this time milder and the doctor adviced duvadilan at intervals of 8 hrs and rest and it has helped so far.As per doc there is no evident reason for bleeding as everything is normal. The pain i get is over an inch place from left side of mid genital to the thigh join making left leg heavy and painful.NOtes:-I have undergone a disc prolapse surgery in 2005 for S1-L5 where i felt numbness in left leg.-i have gone for appendix operation at 5 yrs age-i had itp for few months at the age of 9 yrs and its completely cured.-i conceived normally within 1 month of plannning-my anomaly scan and triple test results are also normal.-I HAVE A FIBROID of 45*42 mm in anterior wall on lower part.-placenta is anterior-tlc was 13.8, rest thyroids,sugar everything is normal-I had intercourse 4 days before the bleeding, can it be the cause-i bled when i switched to susten instead of crinone.questions:-what could be possible reason for bleeding and pains-how much is the chance to carry to term,-should i be on bed rest, is my cervix length within range, i am only 5 ft in height-in which organ am i witnessing pain?-can i go for normal delivery-is there chance of preterm labor, how to avoid it.i am highly stressed as i want to have this child.plz help
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