How would you assess and treat a 52year old woman who
complains of heavy prolonged menstrual bleeding?
Answers were Sorted based on User's Feedback
Answer / jim
It may or maynot be any symptom of ovarian Ca, or fiberus
formation of the uterus or any other complications. So
better she go for hysteroscopy, and blood study for any
infestations of micro organism. check the platelet level in
blood, and WBC count and BT,CT .
Her age is abow 50. so in this age there is less chance
menstuation.
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Answer / stephanie
Ablation can be performed in a day surgery setting with
your OBGYN. You will require anesthesia. Many insurance
companies are not quick to pay for this, however with
proper documentation over several months, your MD can file
it in a way that showes your need for surgical
intervention. This procedure scars your uterus, so the
liklihood you can ever carry a conception to delivery is
minimal. It has been used often to treat prolonged, heavy
menstration with positive results. This is of course,
after you and your MD have ruled out any pathological
causes.
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Answer / bushra
this woman has not enter menopause,ASSESSrisk
factors .detail menstural history +drughx contraception
hx,BMI+co-morbids labs FBC,Gp/rhfactor,thyroid
status+pelvic ultrasound/TVS,nd correct general condition
medical treatment ,transamine+mefenamic acid nd
hysteroscopy targeted biopsy/LEVONORGESTRIL intra utrine
systum mierna/TAH+BSO
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