Abnormal Uterine and Vaginal Bleeding: Causes and Treatments - Obstetrics and Gynecology

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Abnormal uterine and vaginal bleeding can be a source of significant concern for many women, as it can indicate underlying health issues or hormonal imbalances. In your case, you are experiencing persistent brownish discharge after your menstrual period, which has been evaluated by a healthcare provider who identified cervical erosion and uterine polyps. You were prescribed medication to manage the bleeding, and you have questions regarding the continuation of this treatment and its relationship with your menstrual cycle.

First, it’s important to understand that abnormal bleeding can arise from various causes, including hormonal fluctuations, structural abnormalities (like polyps or fibroids), infections, or even certain medications. In your situation, the presence of cervical erosion and uterine polyps can contribute to irregular bleeding patterns. Cervical erosion, also known as cervical ectropion, occurs when the cells from the inside of the cervical canal grow on the outside of the cervix, which can lead to increased sensitivity and bleeding, especially after intercourse or during a gynecological examination.

The medication you were prescribed, likely a hemostatic agent (such as Tranexamic acid), is intended to help reduce bleeding. It is crucial to follow your healthcare provider's instructions regarding the medication. Generally, it is advisable to complete the full course of any prescribed medication unless directed otherwise by your physician. Stopping the medication prematurely could lead to a resurgence of bleeding, especially if the underlying issues have not been fully addressed.

Regarding your question about whether the interruption of the medication could affect your bleeding, it is possible. Missing doses can lead to fluctuations in the effectiveness of the treatment, which may result in the return of symptoms. Additionally, as you approach your expected menstrual period, hormonal changes can also contribute to spotting or brown discharge, which is often old blood that takes longer to exit the body.

If your menstrual cycle is approaching, it is not uncommon to experience some premenstrual spotting or discharge. However, if the bleeding becomes heavier or is accompanied by other symptoms such as pain, fever, or unusual odor, it is essential to seek further medical evaluation.

As for the continuation of the hemostatic medication during your menstrual period, it is best to consult your healthcare provider. In many cases, if menstruation begins, the need for such medication may be reassessed, as the body naturally sheds the uterine lining during menstruation.

In summary, it is crucial to maintain open communication with your healthcare provider regarding your symptoms and treatment plan. If you have concerns about the effectiveness of your current treatment or if your symptoms persist or worsen, do not hesitate to reach out for further evaluation. Regular follow-ups and monitoring are essential in managing abnormal bleeding effectively and ensuring that any underlying conditions are addressed appropriately.