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20 Jul 2005

Please could you advise me on the following:
I am 35. I had a child in 2001. Besides a miscarriage scare at 9 weeks, my pregnancy was normal with morning sickness, sore breasts, etc. I had a normal delivery (with gas/air and pethidine), an episiotomy and a labour of 6.5 hours (very lucky). Here I am four years later and have had nothing but problems with my periods. On hindsight, I have to say, that I was put on the pill at 17 (Diane) for my skin and because of my irregular periods. I then moved onto Triphasil and until going off the pill to fall pregnant, I had regular periods (one a month for 7 days) with normal bleeding. Since having my child, I had severe bleeding and a period every second week for a week at a time. I visited a gynae in 2004 who suggested a D&C, the Mirena (at my own cost) to treat the heavy bleeding and to hide some extra skin I had after the episiotomy. He advised the only other choice would be a hysterectomy and at 35, I may still want another child. I had the operation on 27/02/2004 and visited the gynae a week later as I was still bleeding and still very sore. He advised that the Mirena had been incorrectly inserted and took it out and replaced it in his surgery that day. It was exceptionally sore, but a week later, I still hadn't stopped bleeding and still sore. I was on two different tablets (Clomidan? and Provera?) to stop the bleeding, but to no avail. I was very lax and just couldn't face going back to the gynae until this year when I just couldn't stand it any longer. I have spoken to the manufacturer and they haven't been any help either. It feels as if I constantly have my period. My breasts are tender, I suffer from extreme period pains, bad skin and headaches. I visited another gynae earlier this year who advised that the Mirena is in fact not suggested for dysfunctional bleeding (why did the other gynae suggest I do it? The money?) (which is what I have, he says), that he suggests I get used to having the dysfunctional bleeding and try a pill (Triphasil) to encourage regular periods. I just can't spend the rest of my life like this. He also advised that the episiotomy was all "wrong" and suggested I have surgery to correct the "ugly" vagina (the bits of skin I complained to the other gynae about is still visible and this gynae advised it is my hymen that is now outside). It also feels as if I have three or four paper cuts below, but assume this must be because of constantly having to wear a pad. I was very upset and decided to go for a 2nd opinion. I visited another gynae about a month ago who also advised that I have dysfunctional bleeding, but thinks this is caused by a lack of vitamin A (am now taking extra) but that surgery wouldn't be necessary at this time and he would prefer to try tablets before resorting to surgery. Noble, but I' still suffering. Also, I went back onto Triphasil 2 months ago to try and regulate my periods. Again, to no avail. I have a two day respite and then my period again. Today it's as heavy as ever and as using a tampon is not good with a Mirena I just don't know what else to do. I'm so tired of having my period, the smell, the pads, the sore tummy, sore breasts. I have been keeping a note of the days, but there is no change one week to the next. This really is starting to affect me emotionally. I have a "regular" partner and it has been easy to explain my reason for not wanting sex, but my sex drive is taking a knock and I really don't want to have sex because of the constant bleeding. I now have constant period pain, sore breasts and am never sure if I'm going to bleed that day or not. Please, please can you make a suggestion as to what I should do. I'm really feeling quite desperate. Should I visit another gynae? Who? Should I stop the pill because it's affecting my mood or carry on taking it to try and regulate my period? This really is a cry for help. Any suggestions at this point would be most welcome.
Answer 438 views

01 Jan 0001

You obviously have a complex problem. I presume that there is no abnormality of the uterus if you have been diagnosed with dysfunctional bleeding. You have tried two of the usual treatments for this - The Pill and the mirena without success. I would suggest a hysteroscopy if you have not had this, to exclude polyps in the uterus. The remaining options are the injectable, which stops periods in 80% of women but may have the same side effects as the Mirena, or a hysterectomy if you have decided not to have any more children. A resection of the womb lining would be another option and a smaller operation.

Best wishes
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