Hello Doctor,
I’m 42 years old, have had my tubes tied, and haven’t had menstruation for over three months. Today, I experienced very bright red and heavy bleeding.
Hello,
Thank you for reaching out to Dr.Galen. Please find the below response to your query.
It is essential to get examined and investigated for possible causes, such as a tubal ligation failure with a pregnancy-related condition like a miscarriage or ectopic pregnancy. Other possibilities include dysfunctional uterine bleeding caused by declining ovarian function or anovulation.
To determine the cause, I recommend the following tests:
- Hemogram (to check blood levels).
- Blood group and cross-match.
- Urine pregnancy test.
- Routine urine analysis.
- Ultrasound examination.
Once the diagnosis is confirmed, your treating doctors can advise the appropriate treatment. An ectopic pregnancy can become life-threatening if not addressed promptly. Additionally, if heavy bleeding persists, complications such as anemia can occur. In some cases, a surgical procedure may be necessary. Your gynecologist will discuss the pros, cons, and risks with you before proceeding.
Thanks
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