YOU WROTE:
List of pre-existing conditions:
Inflammatory bowel syndorme. Rheumatoid
arthritis, vertigo, low blood pressure
List of other diseases, conditions, or
injuries and their treatment: #wrist,
ribs, nose. Appendectomy 20 years ago.
Tonsellectomy adeniodectomy 24 years ago
Have a diagnosis for the current
condition: no
Current medical status: (Unable to enter
LMP previously - 24-1-08) Intermenstural
bleeding for 4 months with cramping pain
and pressure requiring pads starts on day
10 of cycle (have 32 day cycle) and
continues for approx 10-15 days. Had
pelvic ultrasound -ve. FBC - hgb 10.2 with
other associated things low ie MCV. ESR
17. Biochemistry and TFT normal. Normally
have very heavy periods requiring super
plus tampons and night time pads use whole
packs each month. Periods would also be
very painful, I use ibuprofen and TENS
machine for the pain. Period lasts for 5
days have been prescribed cyklokapron for
this reduced flow slightly but not
significantly. GP has made a referral to a
gynaecologist but earliest appointment is
the 6th March. Bleeding is increasing and
pain/pressure is getting worse
Current medical treatment: Nil.
Betahistime PRN. Diclofenic PRN. Movicol
PRN
Vaginal bleeding between menstruation is
called metrorrhagia. Metrorrhagia is a
type of pathological bleeding and a sign
of some type of disorder. The low
hemoglobin readings are probably due to
this kind of excessive bleeding from the
vagina.
Metrorrhagia can be either functional or
organic in nature. Functional metrorrhagia
is due to a hormonal disorder in the
endocrine axis of the
hypothalamus-pituitary-ovaries. Functional
bleeding is treated with oral
contraceptives. Organic metrorrhagia is
due to an organic disorder of the uterus
such as: a myoma (benign tumor), polyp,
infection, endometrial hyperplasia, etc.
Only a gynecologist can identify the
precise cause for this type of excessive
bleeding. If you can’t wait until you
schedule a regular appointment, you can
ask for help in the ER.
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