instruction: hello doctor I generally have regular periods and for the first time I had my period 12 days earlier this month and it is continuing for more than 10 days I am currently on sepia 200 kindly help
output: hello before we could determine the exact cause for this prolonged bleeding I would like to know a little more details about your previous cycles as you said you always had regular cycles just wanted to know if your previous period was on time and had a normal pattern of bleeding or was it scanty also whether you are a sexually active individual and if so whether any chances of pregnancy could be there if there is any such doubt it would be advisable to take a home pregnancy test sometimes the scanty flow of implantation hemorrhage could be confused with a normal period and the actual bleeding could be a sign of threatened miscarriage if pregnancy is ruled out by checking urine pregnancy test or if not sexually active the hormonal disturbances of thyearoid or prolactin hormones and sometimes lifestyle related problem that is cos also can cause such irregularities in periods also stress can be one of the reason for hormonal changes and thus causing disturbances in menstrual patterns basically this is suggestive of anovulatory cycles so to find out these you need to take certain blood tests I would like to know if you had any recent weight loss or do you face frequent acne and unwanted facial hair growth problems any headaches or visual problems these symptoms may provide some clues to the underlying problem which is causing a delay in periods for you please revert back to me with the necessary details for discussion so as to find the appropriate cause for your problem and start the necessary treatment to control the bleeding ultrasound abdomen and pelvis home pregnancy test if sexually active thyearoid hormone disturbances cos submucosal fibroids polyps incomplete miscarriage after discussion and evaluation