Unusual Bleeding on Day 12 of Gynecological Medication: What to Know

Abnormal bleeding on the 12th day after taking menstrual regulation medication prescribed by an obstetrician-gynecologist?

The medications prescribed by the obstetrician-gynecologist differ between days 1-11 and days 12-21.
During the first 1-11 days, taking the white pills resulted in symptoms of spotting with discharge.
Today is day 12, and I visited the gynecologist for a prescription.
However, I was unaware that I needed a full bladder before the appointment, so I went to the restroom first, which made it difficult for the doctor to get a clear view.
While performing the ultrasound, the doctor mentioned something seemed unusual, particularly in the area resembling the ovaries.
I am a bit concerned about what "unusual" means.
Is it just because my bladder wasn't full? After seeing the doctor, I went swimming in the afternoon, and I’m unsure if it was due to excessive exercise, but I experienced bleeding again in the evening.
This bleeding is different from the spotting I had during the first 11 days; today, there was a small amount of blood.
I would like to know if excessive exercise can cause abnormal bleeding.
Today's medication consists of blue pills, and I noticed this before taking them, so it shouldn't be an issue with the blue pills.
Should I continue taking them? Thank you for taking the time to read and respond!

Ms. Chen, 10~19 year old female. Ask Date: 2017/08/22

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, uterine or cervical lesions, infections, ovulation, pregnancy, and breastfeeding, among others.
It is recommended that you continue taking your medication as directed by your physician.
If symptoms persist or worsen, please consult a gynecologist to check for hormonal imbalances or other underlying causes.
Thank you! Wishing you safety and health, Dr.
Zhang.

Reply Date: 2017/08/22

More Info

Unusual bleeding during a menstrual cycle can be concerning, especially when it occurs while taking gynecological medications. Based on your description, it seems that you are experiencing bleeding on day 12 of your medication regimen, which is different from the bleeding you experienced during the first 11 days. Here are some insights and recommendations regarding your situation.

First, it's important to understand that hormonal medications, such as birth control pills or other gynecological treatments, can cause various side effects, including breakthrough bleeding. This type of bleeding can occur when the body is adjusting to the hormonal changes induced by the medication. It is not uncommon for women to experience spotting or light bleeding, especially during the initial months of starting a new medication or when switching between different types of hormonal treatments.

Regarding your concern about the ultrasound and the doctor's comments about the "strange" appearance of your ovaries, it is possible that the lack of a full bladder may have affected the clarity of the ultrasound images. A full bladder can help provide a better view of the pelvic organs, including the ovaries and uterus. However, if the doctor noted something unusual, it is essential to follow up with them for clarification. They may want to conduct further tests or imaging to ensure everything is normal.

As for your question about whether excessive exercise could lead to abnormal bleeding, the answer is yes. Intense physical activity can sometimes disrupt the hormonal balance in the body, leading to changes in menstrual patterns, including breakthrough bleeding. If you have recently increased your exercise intensity or frequency, this could be a contributing factor to the bleeding you are experiencing.

Regarding the blue pills you received for days 12 to 21 of your medication, it is crucial to continue taking your prescribed medication unless instructed otherwise by your healthcare provider. If you are concerned about the bleeding, it is advisable to contact your doctor to discuss your symptoms. They may want to evaluate your situation further or adjust your treatment plan if necessary.

In summary, while unusual bleeding can be alarming, it is not uncommon when starting or changing hormonal medications. Factors such as exercise, hydration levels during ultrasounds, and the body's adjustment to hormonal changes can all play a role. It is essential to maintain open communication with your healthcare provider, report any changes in your symptoms, and follow their recommendations regarding your medication. If the bleeding persists or worsens, or if you experience any additional concerning symptoms, do not hesitate to seek medical attention. Your health and peace of mind are paramount, and your healthcare provider is there to support you through this process.

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