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Ask Dr. Pfeiffer Your Own Question

Dr. Pfeiffer
Dr. Pfeiffer, Doctor
Category: OB GYN
Satisfied Customers: 5986
Experience:  Ob/Gyn Doctor
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I had a sonohysterogram done today. Now I am experiencing severe

Resolved Question:

I had a sonohysterogram done today. Now I am experiencing severe pain and heavy bleeding.
Submitted: 1 year ago.
Category: OB GYN
Expert:  Dr. Pfeiffer replied 1 year ago.

Dr. Pfeiffer :

hello

Dr. Pfeiffer :

what was the reason for the test?

Dr. Pfeiffer :

ok....

Dr. Pfeiffer :

when you get back online...

Dr. Pfeiffer :

let me know why you had the test done, how heavy the bleeding was, what the findings were and what your doctor told you.

Dr. Pfeiffer :

thanks

Dr. Pfeiffer :

Dr. Pfeiffer

Customer: Adenomyosis and severe pelvic congestion syndrome
Dr. Pfeiffer :

ok..

Dr. Pfeiffer :

so the uterine lining was normal and there was no polyps?

Dr. Pfeiffer :

where are you in your cycle now?

Customer: I have a polyp growing in there. I don't really have a cycle because I take Aygestin.
Dr. Pfeiffer :

ok..

Dr. Pfeiffer :

so basically the saline used for the test can distend the uterus and cause cramping.

Dr. Pfeiffer :

in a woman with adenomyosis this may cause pain, cramping and discomfort similar to that experienced during the menstrual cycle.

Dr. Pfeiffer :

the pain and cramping typically only lasts 24-48 hours.

Dr. Pfeiffer :

now, for the bleeding...the aygestin should really help control it.

Dr. Pfeiffer :

depending on how heavy the bleeding is, it might be more effective to have a 5-7 day period and then start the aygestin again.

Dr. Pfeiffer :

that would be if it was mild to moderate flow.

Dr. Pfeiffer :

if it is heavy - like a pad an hour or heavier..that would require calling your doctor for medication that also has estrogen in it...or perhaps even a D&C.

Dr. Pfeiffer :

motrin usually works best for the cramping and pain you are experiencing.

Dr. Pfeiffer :

occasionally one might require pain medication for a few days.

Dr. Pfeiffer :

Dr. Pfeiffer

Customer: I still have heavy bleeding and major cramping.
Dr. Pfeiffer :

are you currently taking the aygestin?

Dr. Pfeiffer :

have you taken any motrin?

Customer: Yes and yes. 800 mg.
Dr. Pfeiffer :

ok...

Dr. Pfeiffer :

if the aygestin and motrin isn't helping you need to call your doctor.

Dr. Pfeiffer :

depending on the severity of the bleeding he may recommend you go to the ER.

Dr. Pfeiffer :

I would certainly give him a call as he knows you and performed the test.

Customer: I have called him and I'm not getting a response.
Customer: Passing big clots.
Dr. Pfeiffer :

how heavy is the bleeding

Dr. Pfeiffer :

how much aygestin are you taking

Customer: 10 mg
Dr. Pfeiffer :

how heavy is the bleeding...in pads per hour

Customer: 1 about every 2-3 hours
Dr. Pfeiffer :

ok.

Dr. Pfeiffer :

you can take up to 15mg of aygestin daily

Dr. Pfeiffer :

so you might try half of another pill to see if that helps

Customer: Okay. What should it do?
Dr. Pfeiffer :

you can try the 15mg of aygestin daily to see if that quites the bleeding.

Dr. Pfeiffer :

motrin 800 every 8 hours if typically very effective for this type of pain.

Dr. Pfeiffer :

if you start bleeding to the point where you are soaking a pad an hour...go to the ER.

Dr. Pfeiffer :

in the meantime, continue to attempt to contact your doctor.

Customer: Okay. Thanks!
Dr. Pfeiffer :

you're welcome....

Dr. Pfeiffer :

please take the time to rate my service...

Dr. Pfeiffer :

thanks

Dr. Pfeiffer :

Dr. Pfeiffer

Customer: I will once my issue gets resolved.
Dr. Pfeiffer :

ok...best to you.

Dr. Pfeiffer :

hope you feel well soon.

Customer: Appreciate it
Dr. Pfeiffer :

you bet

Customer: I'm STILL having problems today.
Customer: I'm still changing pads 4-5 times per day. My doctor prescribed Synarel. What will that do?
Dr. Pfeiffer, Doctor
Category: OB GYN
Satisfied Customers: 5986
Experience: Ob/Gyn Doctor
Dr. Pfeiffer and other OB GYN Specialists are ready to help you

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