My mother is 51 years old and has been experiencing heavy bleeding for more than 20 days. The heavy bleeding was temporarily controlled with Tranostat tablets prescribed by the doctor, but the bleeding does not stop completely within 7 days, and when it does stop, her next period starts again within 3 weeks. Her haemoglobin level is 9.2, and her weight is 58 kg. Uterus scan and thyroid tests showed no abnormalities. What should be done further to stop this bleeding? The doctor mentioned that D and C may not help in stopping the bleeding, but they can be done if needed. Is a hysterectomy (removing the uterus) the only option?

Question

Dr. Siri Nallapu · Accepted Answer

At 51, your mother is likely near menopause, and heavy bleeding can occur due to hormonal changes even if the scan and thyroid are normal. Since her hemoglobin is low (9.2), treatment is needed to prevent further weakness. If medicines like Tranostat are not helping, your doctor may suggest D and C to check the uterine lining and stop the bleeding temporarily. Removal of the uterus (hysterectomy) is an option if bleeding continues despite medication and D and C. You can book a CBC and Pelvic Ultrasound (if not done recently) before the next consultation.

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