Heavy Bleeding After Starting Winstop 30: What Should You Do?

Experiencing heavy bleeding after taking Winstrol 30?

After taking the prescribed birth control pills for nine days, you experienced heavy bleeding at night, along with light bleeding and blood clots in the first two to three days.
Should you continue taking the pills, and does this count as your period? You previously had a diagnosis of thickened endometrium (2 cm) and heavy menstrual bleeding, with a biopsy scheduled for July.
Should you immediately request a leave of absence from school (I am a freshman) to seek medical attention? I have no sexual experience and no history of surgery.

Miss Huang, 10~19 year old female. Ask Date: 2020/04/25

Dr. Wu Xianghui reply Obstetrics and Gynecology

Abnormal bleeding and irregular menstrual cycles can have many underlying causes.
If bleeding persists for more than a week or if there are other concerning symptoms, it is recommended to consult a gynecologist for evaluation.

Reply Date: 2020/04/25

More Info

When experiencing heavy bleeding after starting a hormonal contraceptive like Winstop 30, it is essential to approach the situation with caution and seek medical advice. Hormonal contraceptives can cause various side effects, including breakthrough bleeding, especially during the initial months of use. However, significant changes in bleeding patterns, such as heavy bleeding accompanied by clots, warrant immediate attention.

First and foremost, it is crucial to determine whether the bleeding is indeed a menstrual period or a side effect of the medication. Breakthrough bleeding can occur when the body is adjusting to the hormones in the contraceptive, but heavy bleeding that resembles a menstrual cycle may indicate an underlying issue, especially given your history of thickened endometrial lining (2 cm) and heavy menstrual bleeding.
Given your situation, here are some steps you should consider:
1. Contact Your Healthcare Provider: It is vital to reach out to your prescribing physician or a healthcare professional as soon as possible. Describe your symptoms in detail, including the amount of bleeding, the presence of clots, and any other symptoms you may be experiencing (such as dizziness, fatigue, or pain). Your doctor may want to perform a physical examination or an ultrasound to assess the situation further.

2. Evaluate the Need for Immediate Care: If the bleeding is excessively heavy (soaking through one or more pads or tampons in an hour for several hours), or if you experience severe pain, dizziness, or fainting, you should seek emergency medical care. Heavy bleeding can lead to anemia or other complications if not addressed promptly.

3. Consider Your Current Medication: While it is generally advised to continue taking hormonal contraceptives as prescribed, in the case of heavy bleeding, your doctor may recommend a temporary pause or adjustment of your medication. Do not stop taking the medication without consulting your healthcare provider first.

4. Monitor Symptoms: Keep track of your bleeding patterns, including the duration, amount, and any associated symptoms. This information will be helpful for your healthcare provider in determining the best course of action.

5. Discuss Future Plans: Since you mentioned that you have a scheduled endometrial biopsy in July, it is essential to discuss with your doctor whether this appointment should be moved up due to your current symptoms. The biopsy will help assess the condition of your endometrial lining and rule out any serious conditions.

6. School and Daily Activities: If you are experiencing heavy bleeding and discomfort, it may be wise to inform your school and take a leave of absence if necessary. Your health should be your priority, and managing your symptoms may require rest and time away from your usual activities.

In summary, heavy bleeding after starting a hormonal contraceptive should not be taken lightly. It is essential to communicate with your healthcare provider, monitor your symptoms closely, and seek immediate care if necessary. Your health and well-being are paramount, and addressing these symptoms promptly can help prevent further complications.

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