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Management of heavy or prolonged menstrual bleeding - Dr. Shefali Tyagi

4,536 views · Published 15 December 2014 · 2:31 · Indexed 25 September 2026

Channel: Doctors' Circle World's Largest Health Platform · 2014 · People & Blogs

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You can treat heavy or prolonged menstrual bleeding by medicines or surgery. If you are obese or over weight, you should lose weight. So, exercise and once the hormones start becoming better, the imbalance will decrease and the periods will behave better.  Otherwise, there are many medicines available, it can be a contraceptive pill, it can be only progesterone tablets. it cam be the blood coagulators and there is also the option of mirena which is the intra uterine device with a hormone wing attached to it.A little hormone is secreted everyday in the lining of the uterus and a majority of women stop with their cycles in six months time. Surgery can be avoided by getting Mirena inserted..
In case none of these help you and you are in an older age group, hysterectomy can be advised. There are other procedures available before we talk about surgery like thermal balloon and burning the lining of the uterus by heat. If these also don't work, then you can go ahead and get the uterus removed..
First we have to find the cause for heavy menstrual bleeding and nowadays, with the medicines available, Mirena and other treatments, surgeries have become quite less. There is a misconception that after the bleeding increases month on month, patients think of surgery. Surgery should be the last option as its a major surgery.First you have to seek the opinion of the gynecologist. Under various medication, up to 80 percent of the blood flow can be stopped..

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