A 20-year-old female has been experiencing heavy menstrual bleeding since her first menstruation. She has a history of receiving blood transfusions twice due to severe anemia, and thalassemia has been ruled out. Additionally, she underwent laparoscopic cystectomy three years ago, but the histopathology report is unavailable. She previously took medications such as Primolut, Ovral G, and Nevilon two years ago, which helped control her heavy periods. She has been married for five months. On a vaginal examination, tenderness is noted in the left fornix. An ultrasound indicates an endometrial thickness of 20 mm, while another ultrasound suggests a normal endometrial thickness. Currently, she is admitted due to iron deficiency anemia, and treatment for her heavy menstrual bleeding continues. Kindly suggest suitable treatment options.

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Dr. Betty Janice

Dr. Betty Janice

Gynaecologist

· Kancheepuram

Has she been evaluated for bleeding diathesis since you mentioned she has heavy menstrual bleeding since menarche? After ruling that out, evaluate for hypothyroidism. She has to be ...read more

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