Could It Be Uterine Polyps? Abnormal Bleeding and Concerns - Obstetrics and Gynecology

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Abnormal bleeding can be a source of significant concern for many women, and your symptoms warrant careful consideration. Based on your description, it seems you have been experiencing mid-cycle bleeding, which has now evolved into a prolonged episode of bleeding that lasts longer than your usual menstrual period. This situation raises several possibilities, including the presence of uterine polyps, hormonal imbalances, or other underlying conditions.

Uterine polyps are growths that occur on the inner lining of the uterus (the endometrium) and can lead to abnormal bleeding. They are often benign but can cause irregular menstrual cycles, heavy periods, or bleeding between periods. The fact that you have experienced bleeding around ovulation and now have a longer episode of bleeding could suggest the presence of polyps, especially if the bleeding is accompanied by other symptoms such as pelvic pain or discomfort.

Hormonal imbalances are another common cause of abnormal bleeding. The menstrual cycle is regulated by a complex interplay of hormones, and any disruption in this balance can lead to irregularities. Factors such as stress, significant weight changes, or even the use of emergency contraception can affect hormone levels and lead to changes in your menstrual cycle. The emergency contraceptive pills you took in April 2016 could have temporarily altered your hormonal balance, but it is unlikely they would have long-term effects on your cycle unless there were other underlying issues.

Given that your bleeding has persisted for seven days and is not typical for your cycle, it is essential to consult a healthcare provider. They may recommend a pelvic examination, ultrasound, or other diagnostic tests to evaluate the cause of your symptoms. These tests can help rule out conditions such as uterine polyps, fibroids, or other abnormalities in the uterus or ovaries.

In the meantime, it is important to monitor your symptoms closely. Keep track of the amount of bleeding, any associated pain, and any other symptoms you may experience. If you notice any significant changes, such as soaking through a pad or tampon every hour for several hours, or if you experience severe pain, it is crucial to seek medical attention promptly.

In summary, while uterine polyps could be a potential cause of your abnormal bleeding, other factors such as hormonal imbalances or the effects of past contraceptive use may also play a role. A thorough evaluation by a healthcare professional is necessary to determine the underlying cause and appropriate treatment. Remember, it is always better to err on the side of caution when it comes to your health, so do not hesitate to reach out to a medical provider for guidance.