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Blood Disorders

Angela Lombard Nursing Practitioner View profile

Dear N

Many thanks for your question. Very heavy menstrual bleeds and blood clots should not be ignored, and the cause of all this does need to be determined. It may be in-part be due to the sterilization, but this should not be happening to this extent. It is essential that you make an appointment to see your gynaecologist so that he can examine you fully and pinpoint the cause and treat this extensive bleeding. There is medication available for extensive bleeding like this, but it is scheduled pharmaceutical medicine and can only be prescripted by a medical doctor.

You are quite right to query the idea of your doctor putting you on a contraceptive when you do not really need it for this purpose. There are other approaches to bringing your cycle back.

You do not mention as to what type of sterilization you have had - did you have a total hysterctomy, or a partial hysterctomy, or was it simply a matter of having your tubes tied (i.e. when the Fallopian tubes outside of the uterus are tied so that in the transportation of sperm, the sperm does not reach the ova due to their pathway being blocked)?

I still recommend that you see a gynaecologist to be reassessed and examined. Once the cause is determined, you could consider taking VITEX AGNUS CASTUS BERRY by Viridian as x1 capsule, 3 times a day for a month - this is if you did not have a full total hysterectomy.

Please make this responsible appointment soon. Let me know how you do and that your problem was resolved.

Warmest regards, and many thanks once again for your question.

Angela Lombard Nursing Practitioner View profile

Dear T

Many thanks for your question. I have no clinical picture or medical history from you, your symptoms could be as a result of a number of reasons. I suggest that you visit your local clinic and request that the nursing sister on duty does a haemoglobin test to check your iron levels. As an adult woman between the ages of 26 - 30 years of age, your iron levels should not be less than 12 gm%. Alternatively, you can make an appointment to see me for the same, at the Kloof Clinic in Cape Town, between the hours of 09h00 - 16h00, Monday to Friday.

Many thanks once again for your question.

Kind regards


Gabriell (dr.) Prinsloo Medical Doctor View profile


Depending on which ‘blood thinner’ you are taking your blood clotting ability would need to be monitored regularly to know if you are taking the correct dose. If this is being done and you are on the correct dose then you do not need to be worried. Also if there has been no change in a long while, I wouldn’t worry.

However if the bleeding is steadily increasing, you only recently started to bleed more or you experience other excess bleeding, then go to your GP as soon as possible to check if your dose is too high. Other medication or drugs (such as alcohol) can interact with the blood thinner changing its efficacy, so it’s also important to check everything that you are taking.

I would need to know the exact medication that you are on to give more details.

Warm regards


Sean (dr.) Gomes Medical Doctor View profile

Having a high haemoglobin count does not necessarily mean that you need treatment. The normal range of haemoglobin for a man is 13.5 to 17.5. Being slightly dehydrated and smoking can both effect your haemoglobin count. Some questions that would first need to be answered would be 1) Is there a specific cause to your elevated haemoglobin count 2) Are you suffering from any specific symptoms related to this? If not, then I would think there would be any cause to worry.

Regards Dr Sean Gomes

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