Periods twice in month

Female patient of age 35 Chief Complaints Patient complain of Is महीने के 4 को महीना आया था 4 दिन तक रहा मगर तीन दिन से(17/06) से दोबारा staining हो रही है रह रह कर।। कोई दर्द nhi hai कही भी। मुझसे ये गलती हो gyi की में तीसरे दिन अपने husband se physical हुए क्या ये कारण हो सकता है?? ये दो साल पहले भी हुआ था मगर खुद ठीक हो गया था।। मुझे डर लग रहा है कोई बीमारी तो नही History No Family history Vitals NAD Physical Examination Overweight Investigations Not available If needed what to advice Diagnosis ?? Management Is management needed???

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? DUB .. ? POLYMENORHEA .. NEED'S .. HEMOGRAM.. HORMONAL STUDY.. GYNECOLOGICAL EXAMINATION WITH EXPERTS OPINION.. USG STUDY ABDOMEN PELVIS ..

Tnx Dr Shukla Vikram
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-check UPT.unconfirmed then.. 35/F..case of anovulatory bleeding. -cause:estrogen breakthrough bleeding. -low levels of estrogen exposure result in staining-spotting mostly light in volume but prolonged sometimes. -No investigation required. -in treatment: -estrogen derivative drugs advised. helps in endometrium re epithelization -clotting at capillary level too.

Thanks for ur appreciation Dr Hemang Doshi..
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ADVISABLE U S G. WHOLE. ABDOMEN WITH. .PELVIS LFT. . TFT. RFT. .CBC

case of polymenorrhea (suspecting) Treatment depends on the cause of polymenorrhea. Sometimes there will be no underlying cause and no need for treatment. A review of abnormal uterine bleeding is recommended for individualized treatment. If a woman is bothered by her polymenorrhea but is not trying to conceive, then contraceptive pills to lengthen her cycle can be a good option. Management of the condition should be in consideration of a person’s fertility desire and contraceptive needs, the impact of symptoms, other conditions present, and any other contributing factors.

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