I'm really concerned about my mom. She's in a lot of pain in her abdomen and her menstrual bleeding is pretty heavy. Her hemoglobin level came back at 7.8 gm, which seems low. The sonography shows a bulky uterus. What could be causing all these symptoms? Do you think she might need surgery, or could it be treated with medication?

Can be indicative of conditions such as fibroids, adenomyosis, or endometriosis. The treatment will depend on the underlying cause. In the case of fibroids or adenomyosis, medications such as Tranexamic acid can help with heavy menstrual bleeding. For pain relief, your mother can take Ibuprofen. If the symptoms are severe and affecting her quality of life, surgery may be considered. It is important to consult with a gynecologist for a proper evaluation and treatment plan.