Conversation: The conversation between human and AI assistant.
[|Human|] Hi doctor, I am 34 yr old and been aneamic for last 10 years. My hb varies b/w 8&9. When ever I take iron supplements it goes up to 11.but when I stop it falls back quickly to 8. Recently when I met a gynaec.She advised me to use Etosys MF for 3-4 days starting from day 1. I have lots of clots during every cycle. So she said I need to control the bleeding to improve  my hb. This month I used it from day 1 but found no difference in my bleeding but ended up with lot of abdominal pain, gas formation and diahorea. Pls advice as to whats apptopriate for me. I have 2 kids and my periods are regular so far and no other problems. Bleeding  is heavy(lots of clots) for 2 days and reduces from 3rd day.
[|AI|]  Hi, Thanx Dow writing to us. Well first do a pelvic scan to see for fibroid or endometrial hyperplasia. If any problem is there u will need to go for curettage and do histopathology of endometrium. Also get your thyroid profile done. Well u can try the medication but if it doesn't work, more Na is a good choice for u.IRENA is an IUD which can be placed after ruling out any problem with endometrium. It will reduce your bleeding and help u increase your he also it works as an intrauterine contraceptive. Consult your doctor.bye