Hello doctor, I have irregular periods and continuous bleeding in the genital area. So I am using sanitary pad always. And also have some kind of pain in the stomach.
Hi. I understand your concern. Please tell me, when did you attain menarche? Have your periods been irregular always? If yes, tell me your cycle length. Are you married? Any children? Are you taking any other medications? When were your last periods? When was this ultrasound done? According to scan reports your endometrium is thick (attachment removed to protect patient identity). You need to understand diagnostic as well as therapeutic curratage. Until then take tablet Pause MF (Tranexamic acid) three times daily for five days, and tablet Meprate 10 mg (Medroxyprogesterone) thrice daily for seven days followed by twice daily for the next week and followed by once daily for the next one week and stop. If your cycles are always irregular following the above treatment start Diane 35 for three months. Also, take Iron, Folic acid supplements to prevent anemia due to excessive blood loss. Please answer the above mentioned questions to suggest if anything extra is needed other than the mentioned treatment.