Irregular Menstrual Bleeding: Causes and Treatments

Irregular menstruation issues?

Hello, my menstrual cycle has been regular every month, but last month I experienced abnormal bleeding due to hormonal imbalance.
The doctor prescribed hormones and progesterone, but the bleeding did not improve, so they prescribed another week's supply and said that my period would start normally after finishing the medication.
However, a few days before my expected period, I started bleeding again, and in the past few days, the bleeding has increased, but it doesn't quite resemble my usual menstrual flow.
I went to another hospital for an examination, and the doctor informed me that my current condition is irregular menstruation, so they prescribed hemostatic medication and asked me to monitor the situation for another week.

1.
After the internal examination, I started experiencing heavy bleeding, and I'm having difficulty distinguishing whether it's my period or the abnormal bleeding from the irregular cycle, as I also have some abdominal discomfort.
If I have irregular menstruation, will I still have a normal period this month?
2.
If it is my period, what effects will taking hemostatic medication have?
3.
If the bleeding stops after taking the hemostatic medication for irregular menstruation, will my period come normally next month?
4.
What is the difference between the hormone and progesterone medication and the hemostatic medication? Thank you for your response!

Niming, 20~29 year old female. Ask Date: 2017/08/12

Dr. Huang Jianzhong reply Obstetrics and Gynecology

Menstruation has been regular every month, but last month there was abnormal bleeding due to hormonal imbalance.
The doctor prescribed hormones and progesterone, but the bleeding did not improve, so another week's supply was given, with the expectation that menstruation would return to normal afterward.
However, a few days before the expected menstruation, there was slight bleeding again, and over the past few days, the bleeding has increased, but it doesn't quite resemble a typical menstrual period.
I sought a second opinion at another hospital, where the doctor informed me that my current condition is irregular menstruation and prescribed hemostatic medication, asking me to monitor the situation for another week.

1.
After the internal examination, I started experiencing heavy bleeding.
I am unsure whether this is menstruation or the previously abnormal bleeding, as I am also experiencing some abdominal discomfort.
Will I have a normal period this month with irregular menstruation?
- Answer: With irregular menstruation, you will not have a normal period this month.
2.
If this is menstruation, what effect will taking hemostatic medication have?
- Answer: The menstrual flow will decrease.
3.
If the bleeding stops after taking the hemostatic medication for irregular menstruation, will my period be normal next month?
- Answer: If there is no hormonal imbalance, your period should be normal next month.
4.
What is the difference between the hormone and progesterone medication and the hemostatic medication?
- Answer: The pharmacological actions are completely different.

Reply Date: 2017/08/12

More Info

Irregular menstrual bleeding can be a concerning issue for many women, and understanding its causes and treatments is essential for managing this condition effectively. Based on your description, it seems you are experiencing abnormal uterine bleeding, which can be caused by various factors, including hormonal imbalances, uterine fibroids, polyps, or even stress.
1. Understanding Irregular Bleeding: Irregular menstrual bleeding can manifest as heavy bleeding, spotting between periods, or prolonged menstrual cycles. In your case, it appears that you have experienced abnormal bleeding that does not align with your typical menstrual cycle. The hormonal treatment prescribed by your doctor, which includes hormones and progesterone, is often used to help regulate the menstrual cycle and address any hormonal imbalances. However, if the bleeding persists despite treatment, it may indicate that further evaluation is necessary.

2. Differentiating Between Menstrual Bleeding and Abnormal Bleeding: It can be challenging to distinguish between normal menstruation and abnormal bleeding, especially when the bleeding is heavy and accompanied by discomfort. The fact that you are experiencing pain and a feeling of heaviness in your abdomen suggests that it is crucial to monitor your symptoms closely. If the bleeding continues or worsens, it is advisable to seek immediate medical attention.

3. Effects of Hemostatic Medications: When it comes to the hemostatic medications prescribed to you, these are typically used to help control excessive bleeding. If you are taking these medications, they may help reduce the amount of bleeding you experience. However, it is essential to follow your doctor's instructions regarding their use. If the bleeding stops after taking the hemostatic medication, it does not necessarily guarantee that your next menstrual cycle will be regular. Hormonal fluctuations can still occur, and it may take some time for your body to adjust.

4. Hormonal Treatments vs. Hemostatic Medications: The primary difference between the hormonal treatments you were initially prescribed and the hemostatic medications is their purpose. Hormonal treatments aim to regulate your menstrual cycle and address underlying hormonal imbalances, while hemostatic medications are designed to control bleeding. Hormonal treatments can take some time to show effects, while hemostatic medications typically work more quickly to reduce bleeding.

5. Next Steps: It is essential to keep a close eye on your symptoms and maintain open communication with your healthcare provider. If you notice any significant changes in your bleeding patterns, such as increased pain, heavy bleeding, or the passage of large clots, you should seek medical attention promptly. Additionally, if you continue to experience irregular bleeding after completing your current treatment, further evaluation may be necessary, which could include imaging studies or a referral to a specialist, such as a gynecologist.

In conclusion, managing irregular menstrual bleeding requires a comprehensive approach that includes understanding the underlying causes, monitoring symptoms, and following your healthcare provider's recommendations. It is crucial to prioritize your health and seek medical advice whenever you have concerns about your menstrual cycle. Regular follow-ups with your healthcare provider will help ensure that any underlying issues are addressed and that you receive appropriate treatment to restore your menstrual health.

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