Abnormal Bleeding After Menstruation: When to See a Gynecologist

Abnormal bleeding after menstruation?

The last menstrual period was from September 25 to September 29.
A day or two later, there was spotting with blood that has continued for over half a month.
There has been ongoing bleeding, requiring the use of panty liners throughout the day, along with lower abdominal pain and lower back discomfort.
There has been no sexual intercourse, so there is some hesitation about whether to visit a gynecologist for an examination.

Niming, 20~29 year old female. Ask Date: 2016/10/19

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I apologize for not being able to diagnose based on the described symptoms.
If you continue to feel unwell, I recommend seeing a gynecologist for an examination.
Wishing you good health.

Reply Date: 2016/10/19

More Info

Abnormal bleeding after menstruation can be concerning and warrants careful consideration. Given your description of experiencing blood-tinged discharge for over two weeks following your last menstrual period, along with accompanying symptoms of lower abdominal pain and back discomfort, it is advisable to seek evaluation from a gynecologist.

Abnormal bleeding can arise from various causes, including hormonal imbalances, uterine fibroids, polyps, endometriosis, or even infections. In your case, the persistence of bleeding beyond the expected menstrual cycle, especially when accompanied by pain, suggests that there may be an underlying issue that needs to be addressed. While it is understandable to hesitate about seeking medical attention, especially if you have not engaged in sexual activity, it is crucial to remember that abnormal bleeding can occur for reasons unrelated to sexual activity.

One common cause of mid-cycle bleeding is ovulation bleeding, which can occur when the ovary releases an egg. This type of bleeding is usually light and short-lived. However, given that your bleeding has lasted for an extended period, it is less likely to be attributed solely to ovulation. Other potential causes include:
1. Hormonal Imbalances: Fluctuations in estrogen and progesterone levels can lead to irregular bleeding. Conditions such as polycystic ovary syndrome (PCOS) or thyroid disorders can contribute to these imbalances.

2. Uterine Fibroids or Polyps: These benign growths can cause prolonged or heavy bleeding and may require further evaluation through ultrasound or other imaging techniques.

3. Endometriosis: This condition occurs when tissue similar to the lining of the uterus grows outside the uterus, leading to pain and abnormal bleeding.

4. Infections: Pelvic inflammatory disease (PID) or other infections can cause abnormal bleeding and discomfort.

5. Pregnancy-Related Issues: Although you mentioned not having sexual intercourse, it is still important to consider the possibility of pregnancy-related complications, such as ectopic pregnancy or miscarriage, especially if there is any chance of prior sexual activity.

Given the duration of your symptoms and the associated discomfort, it is prudent to schedule an appointment with a gynecologist. During the evaluation, the doctor may perform a pelvic exam, ultrasound, and possibly blood tests to assess hormone levels and rule out any serious conditions. Early diagnosis and treatment can help alleviate your symptoms and address any underlying issues effectively.

In summary, do not hesitate to seek medical attention for your abnormal bleeding. It is better to err on the side of caution when it comes to your reproductive health. A gynecologist can provide the necessary guidance and treatment options to help you manage your symptoms and ensure your overall well-being.

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Hello, I apologize for not being able to diagnose based on the described symptoms. If there is still any spotting, I recommend seeing a gynecologist for an examination. Wishing you good health.