Abnormal Bleeding: When to Seek Medical Advice

Abnormal bleeding

My menstrual period ended around the 5th to 11th.
However, on the 15th, I noticed 2-3 drops of blood when I went to the bathroom.
Occasionally, there is no bleeding, but sometimes I see brown discharge, and I feel a dull ache in my abdomen.
On the 21st, I visited a gynecologist who prescribed me hemostatic medication.
After finishing the medication, there is still slight bleeding.
The doctor mentioned that the earlier bleeding was abnormal, but the later bleeding could be related to ovulation.
During the internal examination, they found a 1 cm polyp.
Should I return for a follow-up appointment to get more hemostatic medication, or can I just buy hemostatic medication at the pharmacy?

Niming, 30~39 year old female. Ask Date: 2022/05/25

Dr. Lin Manying reply Obstetrics and Gynecology

Hello, it is recommended that you consult with the physician you originally saw.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2022/05/25

More Info

Abnormal bleeding can be a concerning issue for many women, and understanding when to seek medical advice is crucial for maintaining reproductive health. Based on your description, it seems you have experienced some irregular bleeding shortly after your menstrual period, along with some associated symptoms such as abdominal discomfort. You also mentioned that you were prescribed hemostatic medication, but the bleeding persisted despite treatment.

Firstly, it’s important to recognize that abnormal bleeding can have various causes, including hormonal imbalances, structural abnormalities like polyps or fibroids, and even infections. In your case, the presence of a 1 cm polyp, as noted during your examination, could be a contributing factor to your bleeding. Polyps are benign growths that can occur in the uterus and may cause irregular bleeding, especially if they are located near the endometrial lining.

Given that you have already consulted with a gynecologist and received a diagnosis, it is advisable to follow up with them rather than self-medicating with over-the-counter hemostatic agents. While it may be tempting to purchase stop-bleeding medication from a pharmacy, it is essential to have a healthcare professional assess your condition further. The persistence of bleeding after taking prescribed medication suggests that there may be an underlying issue that requires more than just symptomatic treatment.

In terms of when to seek medical advice, here are some guidelines:
1. Duration of Bleeding: If you experience bleeding that lasts longer than a week or if it becomes heavier than your normal menstrual flow, it is essential to consult a healthcare provider.

2. Associated Symptoms: If you have additional symptoms such as severe abdominal pain, dizziness, or fainting, these could indicate a more serious condition that requires immediate medical attention.

3. Changes in Bleeding Patterns: Any significant changes in your menstrual cycle, such as bleeding between periods, post-coital bleeding, or bleeding after menopause, should be evaluated by a healthcare professional.

4. Follow-Up on Diagnosed Conditions: Since you have been diagnosed with a polyp, it is crucial to follow up with your gynecologist to discuss the best course of action. This may include monitoring the polyp, further imaging studies, or even a procedure to remove it if necessary.

5. Medication Efficacy: If the prescribed medication does not seem to be effective, do not hesitate to return to your doctor for a reassessment. They may need to adjust your treatment plan or investigate further.

In conclusion, while it is understandable to seek quick solutions for abnormal bleeding, it is vital to prioritize a thorough evaluation by a healthcare professional. They can provide tailored advice based on your specific situation, ensuring that any underlying issues are addressed appropriately. Remember, your health is paramount, and taking proactive steps in consultation with your doctor is the best way to manage your symptoms and maintain your well-being.

Similar Q&A

Understanding Abnormal Bleeding: When to Seek Further Evaluation?

Hello, I would like to consult a physician. I have not engaged in sexual intercourse, I am overweight, and I have high blood pressure. Two years ago, my menstrual cycle became irregular, and when it did occur, it lasted more than 10 days. Initially, the flow was light. After seei...

Dr. Huang Yuande reply Obstetrics and Gynecology
Thank you for your question. Damage to the hymen can occur during a pelvic examination, so unless necessary, the physician will consider the circumstances. The risk of fibroids becoming malignant is very low, and if the condition is well-controlled with medication, there may not ...

Understanding Abnormal Bleeding: When to Seek Medical Attention

Hello, doctor. I had my period about two weeks ago, and since then I have been experiencing intermittent bleeding in my lower body. Sometimes it's just a little bit of blood, and other times it's brown discharge. Since yesterday, the amount of bleeding has increased, an...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, I apologize for not being able to diagnose based on the described symptoms. If you continue to feel unwell, I recommend seeing a gynecologist for an examination. Wishing you good health.

Managing Abnormal Menstrual Bleeding: When to Consult Your Doctor

I have heavy menstrual bleeding and have received a blood transfusion and medication. I had an ultrasound, which was normal. The doctor prescribed Medroxyprogesterone and I am still experiencing a small amount of bleeding while on the medication. Should I go back to see the docto...

Dr. Chen Zhiyu reply Obstetrics and Gynecology
Hello, it is recommended to schedule a follow-up appointment in advance. Thank you.

Understanding Abnormal Bleeding: When to Seek Further Medical Attention

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 an...

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 ...