Irregular Bleeding After Menstruation: Causes and Solutions

Abnormal bleeding after menstruation?

I would like to ask: My menstrual cycle lasts normally for 7-8 days, and after it ends, I experience a little spotting 5-7 days later, usually just a small amount that only requires a panty liner.
It consistently lasts around 7 days.
In April, I visited a doctor who examined me and mentioned that due to obesity and slightly thickened endometrium, I might have irregular menstrual issues.
The doctor advised against using hormonal treatments and suggested that I lose weight naturally to gradually change my body condition.
Therefore, I was prescribed medication to help with uterine contractions and to stop bleeding, which I should take only when I have bleeding, until it stops.
My normal menstrual period started on May 17 and ended on May 24.
On May 31, I experienced a little spotting again (this situation has been ongoing for 2-3 years).
I started taking the medication on the evening of May 31 and stopped by noon on June 1 after the bleeding ceased.
However, on June 2, shortly after having intercourse, I experienced light bleeding again.
Could this be related to not having intercourse for a long time? Should I continue taking the hemostatic and contraction medication, or should I avoid intercourse altogether?

Ya, 20~29 year old female. Ask Date: 2016/06/02

Dr. Lü Lizheng reply Obstetrics and Gynecology

1.
Hemostatic agents can be continued until bleeding stops, after which they are no longer necessary.

2.
Under normal circumstances, sexual intercourse should not cause bleeding.
There are many potential causes for bleeding, including inflammation, polyps, or irregular menstruation.
Please seek medical evaluation to identify the cause and receive appropriate treatment.
Once treated, you can resume normal sexual activity.

Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital

Reply Date: 2016/06/02

More Info

Irregular bleeding after menstruation can be a concerning issue for many women, and it often raises questions about underlying causes and appropriate management strategies. Based on your description, it seems that you have been experiencing irregular bleeding for the past 2-3 years, with a pattern of normal menstruation lasting 7-8 days, followed by light bleeding approximately 5-7 days after your period ends. This pattern, combined with your doctor's assessment of obesity and slightly thickened endometrial lining, suggests that hormonal imbalances may be contributing to your symptoms.

The irregular bleeding you are experiencing could be attributed to several factors. One common cause is hormonal fluctuations, which can be influenced by body weight, stress, and lifestyle factors. In your case, the doctor has indicated that your obesity may be playing a role in your menstrual irregularities. Excess body fat can lead to increased estrogen levels, which may cause the endometrium (the lining of the uterus) to thicken. This thickened lining can lead to irregular shedding, resulting in the light bleeding you are experiencing between periods.

Additionally, the use of medications such as contraction-inducing and hemostatic agents can also influence your bleeding patterns. These medications are typically prescribed to manage heavy menstrual bleeding or to help regulate the menstrual cycle. However, it is essential to use them under the guidance of a healthcare professional, as they may not address the underlying cause of your irregular bleeding.

Regarding your question about whether the recent sexual activity could have contributed to the bleeding, it is possible. Engaging in sexual intercourse after a period of abstinence can sometimes lead to light spotting or bleeding, especially if there is any cervical or vaginal irritation. However, if the bleeding persists or becomes heavier, it is crucial to consult your healthcare provider for further evaluation.

In terms of management, your doctor has recommended a conservative approach, encouraging weight loss and lifestyle changes rather than immediate hormonal treatments. This is a reasonable strategy, as achieving a healthier weight can help regulate your menstrual cycle and reduce the thickness of the endometrial lining over time. Incorporating regular physical activity, a balanced diet, and stress management techniques can all contribute to weight loss and overall hormonal balance.

If you continue to experience irregular bleeding, it may be beneficial to follow up with your healthcare provider. They may consider additional evaluations, such as an ultrasound to assess the thickness of the endometrial lining or blood tests to check hormone levels. In some cases, further treatment options may be necessary, including hormonal therapies or procedures to address any underlying issues.

In summary, irregular bleeding after menstruation can be influenced by various factors, including hormonal imbalances related to obesity. While lifestyle modifications are essential for long-term management, it is crucial to maintain open communication with your healthcare provider to monitor your symptoms and adjust your treatment plan as needed. If you experience any significant changes in your bleeding patterns or have concerns about your health, do not hesitate to seek medical advice.

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