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37 years old with heavy menstrual bleeding, mood swings & anxiety - What's normal?

Dr Karthiyayini Mahadevan |1146 Answers |Ask -Follow

General Physician - Answered on Jun 12, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Asked by Anonymous - May 11, 2024Hindi

Health

Hello Ma'am,. I am 37 years old and have High menstruation requiring 5 to 6 pad changes a day in the initial 3 days. It is also slightly clotted. Is this normal at this age and do I have do do any tests, if yes which? Also I have High mood swings , anxiety and irritation during the initial 10 days before start of menustation. There are no hot flushes or night sweats. Kindly guide.

Ans: These are Premenstrual symptoms which are grouped as PMS. Understand the physiology of Menstrual cycle in a woman
Preovulatory, ovulatory and premenstrual or post ovulatory, different hormones influence the body and mind. A woman is in the upbeat, more outward and cheerful in the first half before ovulation. She become more receptive and ready to listen during the time of ovulation and post that, she is more reflective and internalising certain processes.
If one closely follows the rhythm and give adequate time and space for this premenstrual phase and not meet targets, not going outward will help to sort out these symptoms. Along with this, adequate hydration, appropriate timely meals will support too

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Hi doctor, I've been having periods problems past 3 years.. I was earlier diagnosed with pcos, with and deit and weight maintanence the condition is reversed, yet I'm facing irregular periods I underwent multiple scans the test results were positive( like there are no cysts and issue with the ovaries in the ultrasound scan and fsh tsh and hormone results are positive). I'm 5'4 65 kg, I workout regularly and eat healthy and only rarely I eat junk food. Only with help of hormone tabs I'm able to mensurate. Could anyone suggest what needs to be done like any test I need to take up ?

Ans: PCOS is a condition of the ovary that one is born with. You can optimize the hormonal imbalances in PCO, but the condition never factually reverses because it is a type of theory. So, lifestyle modifications and medication are sometimes necessary to ensure that regular ovulation happens with PCO. Lifestyle modification in terms of diet control, exercise, medication like metformin, MYO inositol. In exceptional cases, cyclical contraceptive pills, etc., may be needed to regulate cycles and ensure hormonal imbalances in PCO, PCOS with androgen excess, men need medication like spironolactone and aldactone to optimize their hormonal imbalances. Weight loss often helps to optimize the condition and resume ovulation in cases of PCOS. Since you weigh 64 kilos, it might be a good idea to lose around 7 to 8 kgs of weight, which will help further improve the cycles.

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General Physician - Answered on Jun 12, 2024

Asked by Anonymous - May 11, 2024Hindi

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Hello Ma'am ,I am 37 years old. I have heavy menstruation requiring 5 to 7 pad changes on the initial 3 days. It is also slightly clotted. Is

Ans: Kindly check with a Gynec to rule out Endometriosis.
Until then have iron supplementation to help with sustaining the hemoglobin level

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Question by paresh - Nov 24, 2024Hindi

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I am 43 years old, my periods come for 1-2 days, I have been having acidity for 5-6 months, I have gained weight, hair fall occurs, water comes out from the breasts, is this a symbol of menopause, if yes then what medicine should I take?

Ans: At age of 43, there is a hormonal imbalance which can result in weight gain, scanty menses, hair fall, discharge from nipple.
It can be due to stress, diet changes or lifestyle changes
Watery discharge from nipple can be due to impaired, raised prolactin level which can and treated with medicine under supervision of your doctor
To check for hormones
TSH, prolactin, LH, FSH, estradiol level, and correct accordingly
Weight gain can be taken care by correcting hormonal imbalance, dietary changes (including proteins less carbs, less oily and fatty food), exercises (Zumba, cardio, daily walks)
Hair fall can be taken care of by improving nutrition, including vitamin A, C, D, iron, biotin, zinc, protein, essential fatty acids and taking supplements under doctor supervision

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