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Asking for Self, Female, 40 years old, Karachi
Salam Meri age 40 hai.3 kids hein.1st vacume baqi 2 c section.last yr may mein D&E hui hai. Mujhey january sey periods ki problem start hui hai 16 date thi aur periods 5 days late huye 21 ko us k baad feb mein 25 ko huye 4 days late.aur aaj 12 march ko bhi start ho gaye.mujhey start sey heavy flow raha hai leykin ab kafi k7m ho gaye aur 3rd day end ho raha hai jab k mein 10 days me8n free hoti thi.mujhey naaf sey neechey hissey mein khichao sa hota hai morning mein aksar aur left dide pain hota hai kabhi eysa lagta hai swelling hai.please bataye k kia karon.ya ultrasound karwana hai tou woh bhi bata dein.
Yes get an ultrasound from good ultrasonologist and consult gynaecologist for further treatment
welcome and thanks for preferring Marham for your health Consultation.
- Dear cycles Previously showed increasing it's length then irregular heavy flow .
- if gradually cycles reducing it's flow and u have other symptoms as well like hot flashes,sweats in nights then might be gradually periods reducing .
- heavy flow is not good actually if periods flow reducing and along with it pain also .
- first have serum beta hcg to exclude pregnancy .If it comes positive u will need urgent evaluation for need of Emergency intervention like evacuation etc .....
If beta hcg comes Negative have complete blood count ,thyroid function test ,transvaginal scan ,cervical smear ,high vaginal swab .
- have tab norethindrone 5 mgs twice daily from day 4 of periods till day 25 and then again from day 4 to day 25 for Complete 3 Cycles to regulate periods and have hormonal support to reduce bleeding .
- for pain have tab ponstan 500 mgs 8 hrly for pain in periods from day 2 to day 5 or if heavy flow for total 5 days.
-have daily walk ,light Exercise to have Normal Bmi .
- have complete treatment of any health issue u have .
- have recreational activities and quit recreational drugs .
- have calcium with vit D and fefal vit if having joint pain and feeling if tired ness after less work .
- collect labs and discuss here .
- best of luck.
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