BLEED­ING FOR THE LAST TWO MONTHS

Sunday Trust - - TAMBARI BEAUTY -

I have been bleed­ing for the last two months. What can I do? Fa­tima Sal­isu, Kaduna

First I will like to make ap­peal to those who send in ques­tions to give fairly ad­e­quate de­tails that will help in giv­ing more spe­cific ad­vice. For ex­am­ple, I will like to know your age, how many chil­dren, has your menses been reg­u­lar be­fore?

Pos­si­ble prob­lem will in­clude preg­nancy re­lated is­sues, in this case preg­nancy test and ul­tra­sound scan will help. Hor­monal im­bal­ance could also be a cause and the use of pro­gesto­gen or Con­tra­cep­tive pills can play a role. Uter­ine fi­broid es­pe­cially fi­broid polyps is an­other pos­si­bil­ity.

If you are forty years and above you may need to do en­dome­trial sam­pling and if nec­cce­say cer­vi­cal biopsy to rule out gen­i­tal tract ma­lig­nan­cies. I will sug­gest you see a Gy­nae­col­o­gist as soon as pos­si­ble for a com­pre­hen­sive as­sess­ment and man­age­ment.

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