Dr. I am prolonged cycles for 23 days. But they are regular. I am 39 years old and the scan shows there might be a focal adenomyosis. The blood is dark in colour and continuous, without clots.
Ask Free Question
Usually adenomyosis is treated with Mirena (levonorgestrel) coil IUCD, which preserves fertility as well. If refractory, other options like endometrial ablation and uterine artery embolisation are done. But should not be used if you wish to preserve fertility. The gold standard treatment still remains hysterectomy.
Ask Free Question
Some adenomyotic changes in the uterus around the age of 40 is normal in USG. So if you do not have any specific complaint and concern you can ignore. Long period or short period may be because of age around 40 -perimenopausal period. So unless you had pain during menstruation or excessive menstrual period just ignore, Get Pap's smear and mammography done as a apart of routine Health check up. Prolong cycles may be due to intrauterine polyp so get expert TVUSG done, Check that Hb% had dropped due to prolong cycle-excessive menstrual bleeding or not?
Take help from the best doctors
Ask a free question
Get FREE multiple opinions from Doctors