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

Well sometimes your body can adjust to this such that you might not be as anemic as you think.

But since you have been bleeding for awhile you are more than likely to have a hemocrit of about 30 to 36 which is anemic, but it could be even less than that.

And, depends on how heavy your bleeding is.

So, I would recommend seeing what your Hemoglobin and hematocrit numbers are to start.

Then you need to get evaluated by your ob/gyn to see WHY you are bleeding.

This could be hormonal

This could be a thyroid condition

This could be a polyp

This could be cervical disease.

So, you do need a pelvic exam,

And, you need a PAP smear if you have not had one in over a year

And, you need a pelvic ultrasound too possibly or even a hysteroscopy and or a D&C.

Now, you can try using a birth control pill, or even the Mirena IUD to help.

Also you need a blood TSH thyroid blood test

I hope this helps

Thank you for your questions

Do you have any additional

Sorry for all the information I just put here

If you have more questions, please ask

Oh, if you have having problems with dizziness, headaches, weakness, short of breath - then you are probably anemic.

You then need to get a Hysteroscopy and get more of an evaluation - and you probably need a D&C too.

The Mirena might not be doing anything if you have a Polyp or even a fibroid you might have

So, given all that I have outlined for you I think you will and should be able to get this under control

You might have a Thyroid condition - such as hypothyroidism which can contribute to your bleeding and a TSH thyroid blood test will help and if you have hypothyroidism then a medication called Synthroid will help

I hope this helps

And given all your symptoms and heavy bleeding, please get this evaluated by your doctor.

And, you should have this done so that you can get treated appropriately

Thank you for your questions.

Great -

I would recommend getting a hysteroscopy - a camera directly in the uterus to look to see if you have a polyp

And, sometimes you might just need to scrap the material out of the uterus called a D&C, and then you can have a Mirena reinserted.

And, this should help

I hope this helps

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But, think positively and THIS can be treated, it really can

You need an ob/gyn who is will to really help you.

Thank you for your questions

Yes, after a D&C to scrap out the lining -

You might have a polyp in there too and taking that out would help if you have a polyp.

I hope this all helps -

do you have any additional quesitons

questions

So, I would recommend printing this out

And, give this to your doctor or at least discuss with your doctor all that I have talked about.

Sounds like your doctor is not interested.

That is a sign that you should look to a new ob/gyn to help you

You can go to this website for names of new ob/gyn's in your area

http://www.acog.org/About_ACOG/Find_an_Ob-Gyn

I hope this helps

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