Hello doctor,I am a 42-year-old female. I am facing unexpected suddenly bleeding from yesterday. My periods are expected on 20th and it is always too regular, date to date.I want to point out my periods discharge is always thick, clotty, and very painful for four to five days. This is the first time, it is seven days earlier with no indication, no pain, and no clots too, but feeling heavy in the lower side and painful urine infection. I am also facing itching in that area. Today I consulted a gynecologist in my area. She suggested Pause 500 if needed and also suggested Codex CZ for 15 days. She said not to worry, it may be regular periods. If bleeding continues for more than seven days then go for USG.Please give your advice. Also, I am hypothyroid for the past 16-17 years and taking Eltroxin 100 mg.
Hi. The medicine your doctor has prescribed is good. Take tablet Pause 500 mg (Tranexamic acid and Mefenamic acid) thrice a day for five days. I hope your doctor also did a vaginal examination and had a look at your cervix to see for any lesion. Though mostly hormonal it may sometimes be due to cervical disease or cancer. If she has not done a vaginal examination I suggest you go to it. Also, recheck your thyroid levels to see if any dose change is needed. Go for an ultrasound seven days prior to your next expected period. It is called a premenstrual ultrasound pelvis. Test for FSH (follicle-stimulating hormone) and LH (Lutenizing hormone) too on day two of your next periods. Consult again with reports. 