Abnormal Menstrual Symptoms: Causes and Concerns

Menstrual status

The menstrual cycles for the past two months have been relatively regular, with the last month starting on February 22 and this month on March 23.
However, the first day of both menstrual periods has presented with dark brown blood, lasting for about two days, and there have been more frequent blood clots.
In the past, by the fifth day, the bleeding would gradually decrease, but now it may last until the seventh day.
Is there any concern regarding this situation? In late February, I underwent a Pap smear and HPV test, which indicated only vaginal inflammation, and the doctor prescribed a vaginal suppository.
What should I be aware of in this case? What could be causing these symptoms? Additionally, I experience easy bleeding during intercourse, even with just finger penetration.
What could be the reason for this? Thank you.

Su, 20~29 year old female. Ask Date: 2021/03/29

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
The menstrual cycle can be influenced by various physical and mental conditions.
2.
Vaginal infections can cause abnormal discharge, itching, fever, bleeding, and lower abdominal pain, which are among the most common symptoms in women.
The causes are numerous, and treatment should be accompanied by comprehensive health education; it is recommended to consult a gynecologist for evaluation.
3.
Abnormal bleeding and irregular menstrual cycles have many potential causes, and it is also advisable to seek evaluation from a gynecologist.

Reply Date: 2021/03/29

More Info

Understanding abnormal menstrual symptoms can be quite concerning, especially when there are changes in the color, consistency, and duration of menstrual bleeding. Based on your description, it seems that you are experiencing some notable changes in your menstrual cycle, including the presence of dark brown blood, blood clots, and an extended duration of bleeding.

Firstly, the presence of dark brown blood at the beginning of your menstrual cycle is often attributed to older blood that has taken longer to exit the uterus. This is generally not a cause for concern, especially if it is accompanied by a regular menstrual cycle. However, the fact that you are experiencing this consistently over the past two months, along with the presence of blood clots, warrants further investigation.

The duration of your menstrual bleeding has also increased, lasting up to seven days. While some women may have longer periods, a significant change in the length of your menstrual cycle can indicate underlying issues such as hormonal imbalances, uterine fibroids, or polyps. These conditions can lead to heavier bleeding and the formation of blood clots.

The fact that you had a Pap smear and HPV test recently, which indicated vaginal inflammation, is also relevant. Inflammation can sometimes lead to abnormal bleeding, especially if there is irritation of the vaginal or cervical tissues. The use of vaginal suppositories prescribed by your doctor may help alleviate some of this inflammation, but it is essential to follow up with your healthcare provider if the bleeding persists or worsens.

Regarding the bleeding during intimate activities, this could be due to several factors. It may be related to vaginal dryness, inflammation, or even cervical irritation. If the vaginal tissues are inflamed or sensitive, even gentle contact can lead to bleeding. It is crucial to communicate with your partner about any discomfort and to consider using lubrication to minimize friction.

Given your family history of cervical issues and the recent findings of inflammation, it is advisable to maintain regular check-ups with your healthcare provider. If the abnormal bleeding continues, or if you experience additional symptoms such as severe pain, significant changes in your menstrual cycle, or any unusual discharge, further evaluation may be necessary. This could include imaging studies like an ultrasound or additional laboratory tests to assess hormone levels.

In summary, while some changes in menstrual symptoms can be normal, persistent or significant changes should not be overlooked. It is essential to keep an open line of communication with your healthcare provider, report any new symptoms, and follow their recommendations for further evaluation and treatment. Your health and well-being are paramount, and addressing these concerns early can help prevent more serious issues down the line.

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