Abnormal Bleeding and Lower Abdominal Pain After Menstrual Delay Medication

Abnormal bleeding and lower abdominal pain after taking emergency contraceptive pills?

Hello, I would like to ask about a situation I have been experiencing.
I took a medication for menstrual regulation for about two months without any issues, but recently I have started experiencing unexplained uterine bleeding and severe pain.
Pain relief medications have not been effective.
There are times when the pain subsides for a few hours, especially when I am sleeping, but it returns upon waking.
The bleeding varies; sometimes it is bright red with clots, and other times it appears brown or has what looks like necrotic tissue.
I also notice that my uterus hurts after drinking or eating, and even after using the restroom.
The pain can be centralized or on either side, and this has been ongoing for about 4 to 5 days.
Additionally, I have recently discovered that I have hyperthyroidism and have been taking medication for it for about a month and a half.
However, I have noticed that after taking the thyroid medication, my uterine pain has also increased.
I would like to know if this could be related to the thyroid condition, or if there might be an issue with my uterus or ovaries?

Xiao Yu, 20~29 year old female. Ask Date: 2018/10/02

Dr. Lin Manying reply Obstetrics and Gynecology

Dear Ms.
Hsiao-Yu,
I am not sure why you need to take menstrual regulation medication for two months, as this medication can disrupt your menstrual cycle and may sometimes cause abnormal bleeding.
Additionally, hyperthyroidism can also affect your menstrual cycle.
I recommend that you visit a gynecology clinic for an initial examination or consider stopping the medication.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2018/10/02

More Info

It sounds like you're experiencing a complex situation involving abnormal bleeding and lower abdominal pain after taking menstrual delay medication. Given the symptoms you've described, it's important to consider several factors that could be contributing to your condition.

Firstly, the use of menstrual delay medication can sometimes lead to side effects such as irregular bleeding and abdominal pain. These medications often contain hormones that can disrupt your normal menstrual cycle, leading to unexpected bleeding patterns. The bleeding you are experiencing, especially if it includes clots and varies in color, could be a result of hormonal fluctuations caused by the medication. It's also possible that the medication has caused your uterus to contract more than usual, leading to pain.

The presence of fresh red blood and clots, as well as the coffee-colored discharge, suggests that there may be a combination of menstrual bleeding and possibly some other underlying issue. The fact that you are experiencing pain that varies in intensity and location (middle, left, or right side) could indicate that there is more going on than just the effects of the medication. Conditions such as ovarian cysts, endometriosis, or even pelvic inflammatory disease could cause similar symptoms.
Additionally, you mentioned having hyperthyroidism and taking medication for it. Thyroid hormones can influence many bodily functions, including menstrual cycles and pain perception. Hyperthyroidism can lead to increased metabolic activity, which might exacerbate symptoms related to your menstrual cycle or cause additional discomfort. However, it is essential to note that while thyroid issues can influence menstrual health, they are not typically a direct cause of acute abdominal pain or abnormal bleeding.

Given that your symptoms have persisted for several days and include significant pain and unusual bleeding, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a pelvic examination, ultrasound, or blood tests to assess hormone levels and rule out any serious conditions.
In the meantime, while over-the-counter pain relievers may provide some relief, they should be used cautiously, especially if you are experiencing significant bleeding. It's also important to monitor your symptoms closely. If you experience severe pain, heavy bleeding (soaking through a pad in an hour), or any other concerning symptoms, you should seek immediate medical attention.

In summary, the combination of hormonal medication, potential thyroid issues, and the symptoms you are experiencing warrants a comprehensive evaluation by a healthcare professional. They can help determine the underlying cause of your symptoms and provide appropriate treatment options. Please prioritize your health and seek medical advice as soon as possible.

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