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  5. For a 51-year-old woman experiencing prolonged abnormal uterine bleeding (25 days) after a period of amenorrhea, is a transvaginal ultrasound (TVS) indicated, can it be safely performed during active bleeding, and what alternative medical treatments are recommended if initial antifibrinolytic therapies have failed?

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For a 51-year-old woman experiencing prolonged abnormal uterine bleeding (25 days) after a period of amenorrhea, is a transvaginal ultrasound (TVS) indicated, can it be safely performed during active bleeding, and what alternative medical treatments are recommended if initial antifibrinolytic therapies have failed?

Asked by Female, 51 · 9 days ago

A transvaginal ultrasound is definitely recommended to evaluate your uterine lining, and it is completely safe and effective to perform even while you are actively bleeding. Since antifibrinolytics haven't resolved the bleeding, excellent alternative medical options include hormonal therapies such as oral progestins, combined oral contraceptives, or a hormone-releasing intrauterine device. Please consult your gynecologist to safely guide you through these next steps.
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For a 51-year-old woman experiencing prolonged abnormal uterine bleeding (25 days) after a period of amenorrhea, is a transvaginal ultrasound (TVS) indicated, can it be safely performed during active bleeding, and what alternative medical treatments are recommended if initial antifibrinolytic therapies have failed?

Answered 9 days ago

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