Intermenstrual bleeding

45/y/o has come with C/O-intermenstrual bleeding for 2 month. Bleeding occur any time in the cycle. This is usually fresh red blood and much lighter that the normal blood. Duration- 1-6 days. She has 3 children and and takes pills- progesterone for contraception. Examination Atrophic vagina & cervix, Uterus is non tender and normal size. Prakriti vata pitta Agni samanya Jihva sama Mala sama



Advise to change contraceptive pill to a combination one with estrogen and progesterone. Vaginal atrophy (atrophic vaginitis) is thinning, drying and inflammation of the vaginal walls that may occur when the body has less estrogen. The progestogen-only pill (POP), minipill, is quite an effective second line contraceptive. Despite this, it is used relatively infrequently except during lactation. The main reason for this is that women on POP often have abnormal bleeding patterns, with an increased frequency of bleeding, lengthened cycles, breakthrough bleeding, spotting and prolonged bleeding..
Thank you Dr. Hemant and Dr. Nihar

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MENORRHAGIA kaishor guggul, kanchnaar guggul,dashmool ghan vati, mukta shukti bhasm ,praval bhasm.syp ashotone can give result,along with these uttar vasti will also help
Menorrhagia due to contraceptive pills. Stop the pills and consult O&G specialist.
Dx Pre Menstrual Syndrome. Rx Sepia.
Dr Ranjit Kumar Poriya Homeopathy Menopausal Syndrome Long Duration&Excessive Bleeding Common Problem. Couses: Infertility Loss Of Uterus. Rx Sepia 200 Weekly 1dose. X2month =8dose. Sabaina 0 8drops Xbd. Fraxinius Americana 0 8drops Xbd (Alter Dose)
Menopausal stage. That is why intermenstrual bleeding appears. Asoka Q / 20-20 drops with cup of water , tds Ferrum. Met. 200/ 4 globules bd Millefolium Q/ 20-20 drops with cup of water, tds
May be no need of medicines... it’s the menopausal symptoms, just maintain her hygiene and nutrition and wait for 2-3 months if the problems continues consult with a gynaecologist first
This is the problem... taking contraceptive very harmful for health...sitz bath saunf carrots pomegranates sprouts kalijeeri lime juice citrus fruit,rest,motto goout in menses
Please give her VIBARUM OPP. Q 10 drops three times a day for 15 days and watch. ( Provisnal diagnosis PRE MENUPAUSUAL DISIRDER)
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