Conversation: The conversation between human and AI assistant.
[|Human|] Hi,weight gain,bloating on noreithrasone Tds without a break to attempt to address severe anaemia - still bleed on this regime and had an adverse reaction to iron infusion so unable to have depot regime,waiting date for investigative surgery,my query is why am I still bleeding on noreithrasone regime.
[|AI|]  Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Bleeding could be due to local or systemic cause.2. Local causes include fibroid, endometrial hyperplasia, or even tumors. Norethisterone could have prevented endometrial cause, so other causes needs to be investigated.3. Iron needs to be given through other routes, including diet to improve hemoglobin. If It's severe, packed cell transfusions might be necessary. Hope it helps. Any further queries, happy to help again.