Abnormal Bleeding: When to Seek Further Medical Attention

Abnormal bleeding

I got my period on August 15, and it was supposed to end around August 21, but I have been experiencing continuous bleeding.
A few days later, I visited a small clinic for a check-up, and the doctor informed me that I have inflammation in my uterus.
At that time, I received an anti-inflammatory injection and was prescribed medication to stop the bleeding.
However, there was no improvement.
I returned for a follow-up appointment and explained my situation to the doctor, who prescribed the same medication but increased the dosage of the hemostatic agent.
While it was effective for a few days, the abnormal bleeding resumed after two to three days.
Currently, I still experience bleeding, which is often preceded by sensations similar to menstrual cramps, along with a dull pain in the left side of my back.
The blood varies in color, sometimes bright red and other times with a brownish tint.
Should I seek further evaluation at a larger hospital?

Wei Ting, 20~29 year old female. Ask Date: 2017/09/04

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On August 15, my menstrual period started, and it was expected to end around August 21.
However, I have been experiencing continuous bleeding.
A few days later, I visited a small clinic for an examination, and the doctor informed me that I have inflammation in my uterus.
At that time, I received an anti-inflammatory injection and was prescribed medication to stop the bleeding.
However, there was no improvement.
I returned for a follow-up appointment and explained my situation to the doctor again.
He prescribed the same medication, but increased the dosage of the hemostatic drug.
While it was effective for a short period, after two to three days, the abnormal bleeding resumed.
Currently, I still experience similar symptoms; before the bleeding starts, I feel discomfort similar to menstrual cramps, with a dull pain, and a sensation of soreness in the left lower back.
The blood varies in color, sometimes bright red and other times with a brownish tint.
Should I go to a larger hospital for further examination? Answer: Yes, you should go to a larger hospital for examination.

Reply Date: 2017/09/04

More Info

Abnormal bleeding can be a concerning symptom, especially when it persists beyond the expected duration of a menstrual cycle. In your case, it seems that you have been experiencing prolonged bleeding since August 15, which has not responded adequately to the treatments provided by your doctor. Given the symptoms you describe, including the sensation of impending menstruation, localized pain, and the varying colors of the blood, it is essential to take this situation seriously and consider seeking further medical evaluation.

Firstly, it is important to understand that abnormal uterine bleeding can have various causes, ranging from hormonal imbalances to structural issues within the uterus, such as fibroids or polyps, or even infections. The inflammation in your uterus that your doctor mentioned could be a sign of endometritis, which is an infection of the uterine lining. This condition can lead to prolonged bleeding and may require more aggressive treatment, including antibiotics or other interventions.

The fact that you have been prescribed anti-inflammatory medication and a stronger hemostatic agent indicates that your doctor is attempting to manage the bleeding. However, if you are still experiencing persistent bleeding despite these treatments, it may suggest that the underlying issue has not been adequately addressed. The presence of pain, especially localized pain on one side, could indicate complications such as an ovarian cyst or ectopic pregnancy, which would require immediate attention.

In general, you should seek further medical attention if you experience any of the following:
1. Severe Pain: If the pain becomes unbearable or is accompanied by other concerning symptoms, it is crucial to seek help immediately.

2. Heavy Bleeding: If you are soaking through pads or tampons every hour for several hours, this is considered heavy bleeding and warrants urgent evaluation.

3. Signs of Infection: Fever, chills, or foul-smelling discharge could indicate an infection that needs to be treated promptly.

4. Persistent Symptoms: Since your symptoms have not improved with treatment and have persisted for an extended period, it is advisable to seek a second opinion or further evaluation at a larger medical facility.

5. Changes in Symptoms: If you notice any new symptoms, such as dizziness, fainting, or significant changes in your bleeding pattern, these could be signs of a more serious condition.

Given your ongoing symptoms and the lack of improvement, I recommend that you visit a larger hospital or a specialized gynecological clinic for a comprehensive evaluation. This may include imaging studies like an ultrasound to assess the uterus and ovaries, blood tests to check for anemia or infection, and possibly a biopsy if there are concerns about the uterine lining.

In conclusion, while it is good that you have sought medical attention already, the persistence of your symptoms suggests that further investigation is warranted. Do not hesitate to advocate for your health and seek the care you need to address this troubling issue. Your well-being is paramount, and timely intervention can lead to better outcomes.

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