24yr married lady is having irregular vaginal bleeding for last 3yrs,occasional passage of clots,also lower abdominal inconsistent pain and increased vaginal secretion.cycle starts and ends as regular,then from9-10th day of cycle irregular bleeding starts and continues till next cycle.
TVS has failed to reveal anything,everything is normal.
prolactin,LH,FSH,T4,TSH are normal,no bleeding disorder detected.
OCP has failed to normalize the cycle..as well as cyclic norethisterone therapy...still having the problem..
she is afraid is trying for any issue untill it resolves.
what could b the cause...and what else to do for diagnosis and treatment????
can anyone help???
with lots of thanx.