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Dr. Owen
Dr. Owen, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 55754
Experience:  Board Certified: Ob/Gyn & Preventive medicine, US Medical Graduate
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Should I worry if I am soaking a Super Plus tampon - and bleeding

Customer Question

Should I worry if I am soaking a Super Plus tampon - and bleeding into the toilet - it has happened twice in 45 minutes
Submitted: 4 years ago.
Category: OB GYN
Expert:  Dr. Owen replied 4 years ago.

Dr. Owen :

Hello, and I am pleased to help, use of my answers are for educational purposes only.

Dr. Owen :

So you are soaking through a tampon or a pad?

Dr. Owen :

IF not a pad, would you soak through the PAD,

Dr. Owen :

And, how long has this been going on?

Dr. Owen :

How old are you?

Customer:

43 years old. It happened yesterday once. Other than that this has never happened before

Customer:

ever

Dr. Owen :

So, how long have you been bleeding right now?

Dr. Owen :

Is the bleeding getting heavier or lighter?

Customer:

I started taking Pradaxa - anticoagulant - in June 2011 for 2 months and I started having long periods then. It continued after stopping pradaxa

Dr. Owen :

So are you taking Pradaxa now?

Dr. Owen :

And, why are you or were you taking pradaxa?

Dr. Owen :

Did you have a blood clot?

Dr. Owen :

Also, do you have a thyroid problem?

Dr. Owen :

Are you on any other medication?

Customer:

I can't tell whether it's heavier yet. I just was sitting here and realized I was bleeding heavily - then I swapped tampons and in 20 minutes I could tell I was bleeding through again. No I haven't been on Pradaxa since January. Yes there are several LARGE clots

Customer:

Yes I'm hypothyroid- have been for 25 years

Dr. Owen :

Okay

Dr. Owen :

so you are on synthroid or something similar?

Dr. Owen :

And, are you over or under weight?

Customer:

Cytomel - same dose since forever. No normal weight

Dr. Owen :

Okay

Dr. Owen :

Well are you having any symptoms or shortness of breath or difficulty breathing.

Dr. Owen :

WEll let me tell what this could be from.

Customer:

a little light headed and really high blood pressure and low pulse for me

Dr. Owen :

This could be hormonal, this could be due to your thyroid (IF not in control)

Dr. Owen :

This could be due to a polyp or a fibroid.

Dr. Owen :

And, this could be a dysplasia (precancer) or a cancer - but UNLikely

Dr. Owen :

And, you will need to get this all evaluated with a pelvic exam, a PAP smear, an Endometrial biopsy, a pelvic ultrasound.

Customer:

I showed polyps or fibroids - 3 ultrasounds were inconclusive in Dec. And I had a uterine biopsy which was normal

Dr. Owen :

But, here is the important part.

Dr. Owen :

Good I'm glad the biopsy is normal

Dr. Owen :

So essentially you are bleeding due to a polyp or a fibroid.

Dr. Owen :

and this means that you might need an Ablation and a D&C to stop the bleeding, or possibly a hysterectomy (just the uterus), not the ovaries.

Dr. Owen :

but, here is the important part.

Customer:

But it's never been this heavy and I've never seen such large clots - multiple

Dr. Owen :

IF you are continuing to bleed heavy you will NEED help tonight to stop the bleeding.

Customer:

I also took some prescription iron -

Dr. Owen :

And, you do not want to wait too long because if you can, you want to avoid the need for a blood transfusion.

Customer:

how long does "continue" mean

Dr. Owen :

Sometimes women wait too long and their blood count is very low and I have to prescribe a blood transfusion.

Dr. Owen :

And, 'continue' if you are NOT stopping and it has been 2 to 3 hours of this heavy bleeding - this is when you need to go to the Emergency room (that is the important part).

Dr. Owen :

Or, if you are having shortness of breath or difficulty breathing, or even dizziness - this means you are losing too much blood and you should get seen in the Emergency room.

Dr. Owen :

Usually the ER and an on call ob/gyn can stop the bleeding

Customer:

How do they stop the bleeding

Dr. Owen :

I hope this helps, and I don't mean to frighten you, I just wanted you to have all the information.

Dr. Owen :

The bleeding can be stopped with very high dose estrogen or progesterone.

Dr. Owen :

and usually anti nausea medications are needed to prevent nausea.

Dr. Owen :

And, sometimes a D&C (scrapping) is needed.

Dr. Owen :

I hope this helps

Dr. Owen :

do you have more questions

Dr. Owen :

I gave you a lot of information - so hopefully you were able to understand what I said.

Customer:

So how many more super plus tampons would I need to soak in X amount of time before I should worry

Customer:

if it subsides can I ignore it?

Dr. Owen :

Well for tampons, if you soak through 4 or more - in less than 1 to 2 hours

Dr. Owen :

then it is time to go to the Emergency room

Customer:

lovely

Dr. Owen :

because that way your bleeding can be stopped

Dr. Owen :

and, prevent any transfusion that might be needed.

Dr. Owen :

but if you need a transfusion, you should get it.

Dr. Owen :

So, don't worry about this -

Dr. Owen :

We as ob/gyn's see this all the time

Dr. Owen :

and we can treat this even in the middle of the night -

Customer:

can I ignore being dizzy if it's not super bad - just making me spacey

Dr. Owen :

I'm on call at a hospital right now and I can get called at any moment

Dr. Owen :

Yes, you can probably ignore that symptom.

Dr. Owen :

probably the bleeding is making you a little anxious too.

Customer:

OK. Will do. Thank you. Very helpful.

Dr. Owen :

You are welcome

Dr. Owen :

Please click on ACCEPT, thank you

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