Suggests Diagnosis and treatment

Reproductive age group female Chief Complaints Female age 30 married, having mensuration 2 times in one month since 2-3 month with heavy bleeding, weakness Vitals normal

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Uterine polyps can cause bleeding in between periods. Inflammation or infection of the cervix with bacteria such as bacterial vaginosis or trichomoniasis can cause irregular bleeding. The thyroid gland is regulated by hormones produced and regulated in the same area of the brain—the pituitary and hypothalamus—as the hormones that control menstruation and ovulation. Polycystic ovarian syndromes:- It’s a result of less frequent ovulation or the lack of ovulation, leading to an imbalance of estrogen, progesterone, and testosterone High levels of stress can cause either more frequent periods or completely missed ones Investigation:Harmonal studies USG TVS Basic investigation Treatment: Apple cider vinegar Tab Folate 800mcg Syp TULA Tab estrogen and progesterone

POSSIBLY... 1. THYROID. DISOEDERS 2. PCOS 3. POLYPS 4. STRESS 5. REDUCED. ESTROGEN. LEVELS 6. WEIGHT GAIN.. 7. SPOTTING. IN. FIRST. TRIMESTER... 8. INFECTIONS 9. RECENT. TRAVELLING..

Dr, diagnosis and treatment could be best suggested if present your clinical findings? PS PV?? It could be pid ,do rule out pregnancy in abnormal vaginal bleeding .

Thank you doctor
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Hormonal disturbance Needs further investigation and evaluation to conclude particularly USG Abdo , hormonal profile if needed D&C

Thanks Dr Ramesh Kumar
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Plz do the basic test.. May need OC pills

Adv : hormonal assay TSH USG abdomen

Get Ultrasound done first

Differential Diagnosis please
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? POLYMENORHEA.. ? DUB .. NEED'S.. HORMONAL STUDY.. USG..ABDOMEN.. EXPERTS OPINION..

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