Patient's question:
I have always had a very regular menstrual cycle. This month, when my period started, it was a bit watery for the first two days. After the period ended, there was still some color. I don't know what's going on. I have always kept my hygiene very good. Please help the experts diagnose this. Thank you.Doctor's answer:
You are experiencing weakness due to anemia caused by prolonged bleeding. However, your endometrial hyperplasia has not responded well to conservative treatment (intravenous fluids and medication). In this case, it is recommended to perform a diagnostic dilation and curettage (D&C). This procedure serves two purposes: to diagnose the condition and to achieve hemostasis.Given your current weakness, it is advisable to undergo a complete blood count (CBC) to assess your hemoglobin levels and determine the severity of your anemia. If it is not severe, intravenous fluid therapy can be administered for several days to increase your blood volume, followed by the D&C procedure. The scraped endometrial tissue will be sent for pathology examination to identify the cause of the hyperplasia.
Post-surgery, active anti-inflammatory treatment should be initiated to prevent infection due to immune system suppression.