Abnormal Bleeding and Abdominal Pain in Women - Obstetrics and Gynecology

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Intermenstrual bleeding with abdominal pain?


Hello Doctor, 👋 I started noticing some light brown discharge in my underwear about two days ago (on January 17).
By this morning (January 19), the brown discharge had increased, and I also experienced bleeding that was heavy enough to require a sanitary pad.
Additionally, I have been feeling some dull abdominal pain throughout the day, which prompted me to visit a gynecologist in the evening.
After an ultrasound, the doctor informed me that my uterine lining is very thin, but there are no growths, and it appears to be intermenstrual bleeding.
The doctor prescribed hemostatic medication and advised me to monitor the situation.
However, the doctor did not explain the cause of my abdominal pain or whether this is normal.
I also have symptoms of dizziness, fever, and nausea, but when I asked the doctor, they said these symptoms are likely unrelated to the bleeding.
Therefore, I would like to ask if it is normal to experience mild abdominal pain with intermenstrual bleeding? The pharmacist also prescribed me medication for my stomach, and I'm not sure if this is related, but I have noticed that my gastrointestinal motility seems to be faster today.
Thank you for taking the time to answer my questions.
🙏

Dang nǚ shēng zhēn lèi, 20~29 year old female. Ask Date: 2024/01/20

Dr. Zhang Kunmin reply Obstetrics and Gynecology


Hello, the factors that can cause this are numerous and may not necessarily be related to bleeding.
I recommend that if your symptoms persist or worsen, you should consult a physician for further evaluation.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2024/01/20

More Info


Abnormal bleeding and abdominal pain in women can be concerning symptoms that may indicate a variety of underlying conditions. Your experience of having brown discharge followed by heavier bleeding and abdominal discomfort warrants careful consideration and monitoring.
Firstly, it’s important to understand that abnormal bleeding can occur for several reasons, including hormonal imbalances, uterine fibroids, polyps, or even more serious conditions such as endometriosis or uterine cancer. In your case, the ultrasound indicated that your uterine lining is thin and that there are no growths, which is a positive sign. However, the presence of abnormal bleeding and abdominal pain still requires further investigation.

The fact that you are experiencing abdominal pain along with the bleeding can be attributed to several factors. One possibility is that the uterus is contracting more than usual, which can happen during abnormal bleeding episodes. This can lead to cramping and discomfort. Additionally, if there are any underlying conditions such as endometriosis or pelvic inflammatory disease, these could also contribute to the pain you are experiencing.

Regarding your symptoms of dizziness, fever, and nausea, while your doctor suggested that these may not be directly related to the bleeding, it’s essential to consider that they could indicate a more systemic issue. For instance, if there is an infection or inflammation in the pelvic area, it could lead to both abdominal pain and systemic symptoms like fever and nausea. It’s also worth noting that gastrointestinal symptoms can sometimes be related to gynecological issues, as the organs in the pelvic region are closely situated.

As for the medications prescribed, it’s common for doctors to recommend hemostatic agents to manage abnormal bleeding. These medications can help stabilize the situation, but they do not address the underlying cause of the bleeding. It’s crucial to follow up with your healthcare provider if the bleeding persists or worsens, or if you experience increasing pain or other concerning symptoms.

The gastrointestinal medication you received may be intended to address any discomfort you are feeling in that area, especially if you are noticing changes in your bowel habits or if you are experiencing nausea. It’s not uncommon for stress or discomfort from one area of the body to manifest symptoms in another, so it’s possible that your gastrointestinal symptoms are related to the overall stress your body is experiencing from the abnormal bleeding and pain.

In summary, while mild abdominal pain can sometimes accompany abnormal bleeding, it is essential to monitor your symptoms closely. If the pain intensifies, if you experience heavy bleeding, or if you develop new symptoms such as fever or severe dizziness, you should seek medical attention promptly. It may also be beneficial to discuss your symptoms further with your healthcare provider to explore potential underlying causes and appropriate treatment options. Regular follow-ups and open communication with your doctor will be key in managing your health effectively.

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