Conversation: The conversation between human and AI assistant.
[|Human|] I have pcos and recently have been on my period for several months. My dr put me on birth control for 1 month and then started me on tamoxifen and dexamethason. My period is getting heavier instead of stopping and now I am really concerned because when I changed my tampon and wiped I had a large clot that was dark brown about 1cm thick and 2 inches long. It was also about the consistency of a wet cotton ball and had a secondary clot inside of it that was about half the length and a little thicker. I am having severe cramping that is getting worse. I cant get in touch with my dr at the moment so any info would really help.
[|AI|]  Hello, I have gone through your query and understood the concern. I would like to know why your doctor suggested Tamoxifen and steroid. Your symptoms suggest that you are experiencing neuropathic cycle. The clot could be a discharge of endometrium as a whole. You need further evaluation which includes coagulation profile, blood counts, hormone profile, urinalysis and sonogram of the pelvis preferably in the trans-vaginal route. Maintenance of a normal BMI and regular exercise is also important. Supplementary therapy is also needed to aid in the treatment. Styptics are needed to control the bleeding; hormone courses may be necessary to check the bleeding and set the cycles on track. Metformin is of help if insulin resistance is detected. Hope your query has been answered. Take care.