OB GYN

Ob-Gyn questions? Ask a gynecologist online.

Ask a Doctor,
Get an Answer ASAP!

OB GYN

Heavy bleeding with large clots for over a month. Started…

Customer Question
Hello! Heavy bleeding with large...
Hello! Heavy bleeding with large clots for over a month. Started taking Progesterone to control bleeding for a couple weeks now, ab pain has been consistent since taking progesterone, however bleeding didn't stop, only reduced. Dr sent for ultrasound, showed uterine fibroid. Now started heavier bleeding with clots again and stronger ab pain. Is this normal?
Submitted: 6 months ago.Category: OB GYN
Show More
Show Less
Ask Your Own OB GYN Question
Answered in 5 minutes by:
7/30/2017
OB GYN Doctor: Dr. Muneeb Ali, Doctor replied 6 months ago
Dr. Muneeb Ali
Category: OB GYN
Satisfied Customers: 8,684
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Verified

Hi,
Welcome to JA and thanks for this question. Im sorry to hear about your symptoms. Actually this is NOT normal especially if the bleeding is worsening over time and the abdominal pain as well. Usually the progesterone would work in controlling the bleeding however it wont reduce the size of the fibroids. if the progesterone fails in controlling the bleeding then you would need to be started on another medication to control the active bleed such as tranxenamic acid which can be helpful during the heavy days of bleeding. Another option is Gn-RH agonists (Lupron, Synarel, others) which treat fibroids by blocking the production of estrogen and progesterone, putting you into a temporary postmenopausal state. As a result, menstruation stops, fibroids shrink and anemia often improves.

But if all of these fail to control the bleeding then you may a surgical option to remove the fibroid and control the bleeding. This can involve several different methods depending on the size of the fibroid.

Uterine artery embolization. Small particles (embolic agents) are injected into the arteries supplying the uterus, cutting off blood flow to fibroids, causing them to shrink and die. This technique can be effective in shrinking fibroids and relieving the symptoms they cause.

Myolysis. In this laparoscopic procedure, radiofrequency energy, an electric current or laser destroys the fibroids and shrinks the blood vessels that feed them. A similar procedure called cryomyolysis freezes the fibroids.

Laparoscopic or robotic myomectomy. In a myomectomy, your surgeon removes the fibroids, leaving the uterus in place.

Endometrial ablation. This treatment, performed with a specialized instrument inserted into your uterus, uses heat, microwave energy, hot water or electric current to destroy the lining of your uterus, either ending menstruation or reducing your menstrual flow.

All of these procedures are minimally invasive meaning you dont have to undergo major surgery at all and can be very effective in controlling the bleeding. But to answer your question simply, NO this is not normal and needs to be re evaluated as your bleeding is worsening.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going on the link below,

http://www.justanswer.com/medical/expert-dr-muneeb-ali/

Ask Your Own OB GYN Question
OB GYN Doctor: Dr. Muneeb Ali, Doctor replied 6 months ago

Would you like to know anything else? Any clarifications or additional questions that you might have, i would be happy to answer them for you. If done for now, please remember to leave a positive rating as that is the only way we are compensated for our time spent helping you. You can continue to ask follow-up questions even after the rating.

Ask Your Own OB GYN Question
Was this answer helpful?
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor
Category: OB GYN
Satisfied Customers: 8,684
8,684 Satisfied Customers
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine

Dr. Muneeb Ali is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. C.

Dr. C.

Board Certified

2,537 satisfied customers

30 years of experience and an award-winning educator.

Monika Hearne, M.D.

Monika Hearne, M.D.

Board Certified OB/GYN

5,752 satisfied customers

With experience and compassion, I treat my patients like family.

Dr. Charles

Dr. Charles

OB/GYN (Doctor)

142 satisfied customers

Board Certified. Solo practice for 8 years; delivered more than 1300 infants and performed more than 800 surgeries.

Dr. K.

Dr. K.

MD

2,351 satisfied customers

Board certified OB/GYN with 20 years of experience.

DR PRABIR KUMAR DAS

DR PRABIR KUMAR DAS

CONSULTANT GYNAECOLOGIST

1,651 satisfied customers

MBBS(CAL)MD(G&O)

Dr.JBB

Dr.JBB

Board Certified OB/GYN

1,293 satisfied customers

15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence

Dr. Lawrence

Dr. Lawrence

OB/GYN

822 satisfied customers

Board Certified OB/GYN and accomplished educator

< Previous | Next >

Related OB GYN Questions
I have uterine fibroid for over 10 years with no major
I have uterine fibroid for over 10 years with no major problems ..only now realized I am gaining excessive weight in tummy as well … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,149 satisfied customers
Can endometrial ablation get rid of a polyp? I don't want to
Can endometrial ablation get rid of a polyp? I don't want to go under general anesthesia to remove a polyp and I think endometrial ablation can be done with twilight sleep.… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,689 satisfied customers
What is the purpose of estrogen in the body? Why is it
What is the purpose of estrogen in the body? Why is it recommended for women who've had a hysterectomy before menopause to get estrogen replacement therapy? Does progesterone protect against aging to … read more
Dr. Das, MD
Dr. Das, MD
Senior Consultant, Radiodiagnosis
MBBS.MD
1,017 satisfied customers
It has been 7 weeks since my partner menstruated. She has
It has been 7 weeks since my partner menstruated. She has taken 2 pregnancy pregnancy tests in the last week (the most recent 2 days ago) and they were both negative. She is going to take another tomo… read more
Dr. J
Dr. J
Physician, Partner
Doctoral Degree
410 satisfied customers
I have estrogen based epilepsy, started having seizures at
I have estrogen based epilepsy, started having seizures at age 14 when I had my period. I'm now 25, in 2013 I was put on the depo shot to help control my seizures, and this past summer I switched to m… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
839 satisfied customers
I was operated 5yrs. ago and my uterus and right fallopian
Hi! this is Emely. I was operated 5yrs. ago and my uterus and right fallopian tube were taken out so I didn't have my menstruation but why is it that within this past 8 days there is a bit of spotting… read more
Dr. K.
Dr. K.
MD
2,351 satisfied customers
I was operated 5yrs. ago and my uterus and right fallopian
Hi! this is Emely. I was operated 5yrs. ago and my uterus and right fallopian tube were taken out so I didn't have my menstruation but why is it that within this past 8 days there is a bit of spotting… read more
Dr. J
Dr. J
Physician, Partner
Doctoral Degree
410 satisfied customers
A couple months ago, I was put on progesterone for low
A couple months ago, I was put on progesterone for low progesterone levels. To give you a bit of info, I'm 39 and was diagnosed with hypothyroid about 1.5 years ago. For the past few years, the sympto… read more
Dr. J
Dr. J
Physician, Partner
Doctoral Degree
410 satisfied customers
Licquids estrogen. Im darryl feyjoo never had one. I was on
licquids estrogen JA: When was your last pap smear? Have you ever had an irregular pap? Customer: im darryl feyjoo never had one JA: Anything else in your medical history you think the doctor should k… read more
Dr Stan
Dr Stan
DO
2,723 satisfied customers
I'm 63 I Missed taking my PROGESTERONE pills one night and
I'm 63 I Missed taking my PROGESTERONE pills one night and I've been bleeding for weeks. What needs to be done to make it stop? … read more
Dr. J
Dr. J
Physician, Partner
Doctoral Degree
410 satisfied customers
I am having late menstruation for 5 months now. I have
hi i am having late menstruation for 5 months now JA: Have you been keeping a personal medical record? Customer: yes JA: Anything else in your medical history you think the doctor should know? Custome… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,149 satisfied customers
I am taking Prozac with -est 60/40 progesterone. Is there
I am taking Prozac with bi-est 60/40 progesterone. Is there any interaction I have been feeling weird … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,149 satisfied customers
I had an endometrial ablation done 5 years ago and found out
hello, I had an endometrial ablation done 5 years ago and found out i am 9 weeks pregnant and am 43 years old. I didnt think u could get pregnant after an ablation. Is it possible.… read more
Monika Hearne, M.D.
Monika Hearne, M.D.
Board Certified OB/GYN
Doctoral Degree
5,752 satisfied customers
Can this liquid estrogen same as a1.25mg estrogen pill, I am
can this liquid estrogen same as a1.25mg estrogen pill … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
773 satisfied customers
If you had an endometrial ablation done 15 years ago and
If you had an endometrial ablation done 15 years ago and have not had any bleeding and am currently 54 is pregency possible o … read more
Dr. K.
Dr. K.
MD
2,351 satisfied customers
I have 3 medium size uterine fibroids. Two are in the muscle
I have 3 medium size uterine fibroids. Two are in the muscle and one is going into my uterine wall (at least I think that's what she said). I'm going to go off of birth control because it's not stoppi… read more
Dr. K.
Dr. K.
MD
2,351 satisfied customers
I have uterine fibroids and am experiencing relentless
I have uterine fibroids and am experiencing relentless bleeding, changing pad every two hours, should i go to ER? … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
6,687 satisfied customers
I am a 48 yr old premenapausal woman with uterine fibroids
I am a 48 yr old premenapausal woman with uterine fibroids and need some advice. I have bloating … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,115 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x