Doctor insights on:
Treatment Options For Heavy Periods
Lose Weight: The amount of menses is diirectly related to the thickness of the lining as well as the size of the uterus. Estrogen is what leads to thickening of the lining. Fat binds estrogen so higher levels are needed in the blood for a women to release an egg and complete a cycle. So weight loss in a women who is overweight lightens the menses. ...Read more
Depends: First trimester spotting occurs in up to one third of pregnancies and usually requires no treatment. Second trimester bleeding is less common but also rarely requires treatment. Significant bleeding at any time during a viable pregnancy that results in anemia is treated with blood transfusions and attempts to address the cause - if life threatening, bleeding can sometines require delivery. ...Read moreSee 1 more doctor answer
Hormones: Hormonal affect on oil glands.Get a more detailed answer ›
Many!: There are many treatment options! but first u need an evaluation to find the cause. Probably need a sonogram, some labs/tests, and also rx depends on whether or not u plan to have more children. Some options (which may or may not work for u depending on what's causing ur pain) include: ocps, a Mirena (levonorgestrel) iud, other medications, an ablation, laparoscopy, or hysterectomy (last 3 r surgeries). ...Read more
Pain: NSAID’s, SSRI’s, hormone meds, OTC meds containing diuretics, warm bath, heating pad, exercise & acupuncture are excellent for PMS / period. Avoid caffeine, chocolate, alcohol & salt. Get GYN eval to R/O underlying pathology. Consider omega- 3 fatty acids, magnesium (supplementation or through diet) or Black Cohosh with dr ok. Sipping Chamomile can dissipate pain. Ginger helps w nausea. ...Read moreSee 1 more doctor answer
Depends: The cause is identified and treatment applied. For low iron, you will get supplements. For inherited defects you might need support and even a marrow transplant. For bleeding you might need proton pump inhibitors or an x-ray to determine the source of the bleed (even a colonoscopy). If induced by treatment you may need injection of red cell growth factors. ...Read moreSee 1 more doctor answer
Is their a treatment for harmonal acne and irregular menses (very late) other than birthcontrol pills?
See derm: There are definitely treatments for acne other than birth control pills. A dermatologist has the best and latest information on treatment for acne. Birth control doesn't work for everyone as far as preventing acne. Don't live with it, as there are successful treatments if it's truly bothering you! ...Read moreSee 1 more doctor answer
Doctor discussed options for heavy period relief due to uterine fibroid. Leaning toward NovaSure over Mirena (levonorgestrel). Is this procedure safe and effective?
Where's the fibroid?: Both options are good for controlling heavy bleeding. You need a tissue diagnosis first prior to either. A mucosal fibroid (one in the uterine cavity may need to be resected first (look up Myosure procedure). An endometrial ablation is otherwise very effective and choices exist (Freezing, thermal balloon, radio frequency, microwave, laser, hydrothermal, electrotherapy, etc). Your Doc will pick. ...Read more
OCPs, Novasure: Adenomyosis is endometriosis in the wall of the uterus. It can make the uterus enlarged, tender and cause heavy, painful periods as well as painful sex. The symptoms can often be controlled with birth control pills, a Mirena (levonorgestrel) iud, or an endometrial ablation; but the condition remains. The only "cure" is to remove the uterus. ...Read more
Nutritional Rx: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read moreSee 1 more doctor answer
Yes: The options will depend on age, anatomical pathology if any and reproductive desires. Pathology has to be addressed. If interested in preserving fertility, hormonal manipulation in the form of progesterones or bcps are options. If fertility is not and issue you could have an in office endometrial ablation or outpatient hysterectomy. Your doctor will be the best person to tailor your care. ...Read moreSee 2 more doctor answers
Several: If your symptoms have been worsening like this, you need to see your doctor for an evaluation to see what's going on. ...Read more
Is progestin for 10 days a month or the mirena (levonorgestrel) IUD better for heavy menstrual bleeding?
Mirena (levonorgestrel): While there aren't any good head to head studies comparing each method, my patients have much better results with Mirena (levonorgestrel) iud. The Progesterone in it is slowly released the whole month and is more targeted to the uterus than taking 10 days of progestin pills. Also, there is a new amazing medicine called Lysteda (tranexamic acid) that is not a hormone and is very effective. Ask your doc about it! ...Read moreSee 1 more doctor answer
Fm49, I am on treatment of tranexamic acid for heavy periods, yesterday periods started and just stopped after few hours, should I still take medicine?
Period: Yes for the course as prescribed by your dr. ...Read more
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