26/04/2026
This is from a 40 year-old patient that experienced heavy and prolonged me**es, irregularly, for 4 months before consulting in the clinic.
Ang regla ay heavy o malakas kapag kinakailangang magpalit ng napkin every 1-2 hours, may kasamang buo buong dugo, nagiging sanhi ng pag absent sa trabaho dahil sa panghihina, pananakit ng puson, at nagdudulot ng anemia.
Ito naman ay prolonged kung lagpas na ng 7 days.
Lahat ito ay na experience ng pasyente. In fact, she was on her 9th day of me**es when she consulted.
She was so pale then. The complete blood count we requested showed severe anemia with hemoglobin of 6 g/dL.
TVS showed endometrial and endocervical polyps.
This patient was admitted for blood transfusion and hysteroscopy.
On hysteroscopy though, we didn't find any polyps, endometrial nor endocervical.
The endometrial lining is still thick despite of bleeding for more than 7 days.
We did targeted biopsy and D&C awaiting results.
Her bleeding
stopped right away after the procedure.
We sent her home with corrected anemia.
Now we wait and pray for benign results.
-M
