Abnormal Menstrual Bleeding: Causes and Concerns

Abnormal menstrual bleeding

Hello Doctor, I would like to ask for your advice.
This past month, my menstrual period has been continuous.
The flow is not heavy, but I have been experiencing bleeding consistently.
Sometimes it lasts for 7 days, then stops for only a day or two before starting again.
I had similar experiences before I got married, but it hasn't happened in over a decade.
I have one daughter, and since giving birth, my menstrual cycle has been regular, with only occasional heavier flow.
However, this past month, the bleeding has not stopped and has been ongoing for almost a month.
I also have a teratoma on my right ovary.
Could this be affecting my situation? Will this resolve on its own? Could you please provide some insight? Thank you!

Lin, 40~49 year old female. Ask Date: 2010/10/28

Dr. Chen Changfu reply Obstetrics and Gynecology

Although women over the age of 40 may experience irregular menstrual bleeding, commonly referred to as "dysfunctional uterine bleeding," due to age-related ovarian dysfunction, symptoms may improve on their own or may require pharmacological treatment.
However, any abnormal vaginal bleeding in women should prompt a consultation with a gynecologist to rule out any underlying diseases of the uterus or ovaries.

Reply Date: 2010/10/28

More Info

Abnormal menstrual bleeding can be a concerning issue for many women, and it is essential to understand the potential causes and implications of such symptoms. In your case, experiencing prolonged bleeding for nearly a month, especially after a period of normalcy, warrants careful consideration and evaluation.

First, it is important to recognize that abnormal menstrual bleeding can arise from various factors, including hormonal imbalances, structural abnormalities, or underlying medical conditions. Hormonal fluctuations, particularly involving estrogen and progesterone, can lead to irregularities in the menstrual cycle. Conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or perimenopause can also contribute to abnormal bleeding patterns.

In your situation, you mentioned having a teratoma on your right ovary. Teratomas are a type of germ cell tumor that can contain various types of tissues, such as hair, muscle, or even teeth. While many teratomas are benign and do not cause symptoms, they can sometimes lead to complications, including hormonal imbalances or pressure effects on surrounding structures. Depending on the size and nature of the teratoma, it could potentially influence your menstrual cycle.

Additionally, other structural issues such as fibroids, polyps, or endometrial hyperplasia can also lead to abnormal bleeding. Fibroids are non-cancerous growths in the uterus that can cause heavy bleeding, prolonged periods, or spotting between periods. Polyps are similar but are typically smaller and can also lead to irregular bleeding. Endometrial hyperplasia, which is the thickening of the uterine lining, can occur due to prolonged estrogen exposure and may lead to abnormal bleeding patterns.

Given that you have experienced a significant change in your menstrual cycle after many years of regularity, it is crucial to consult with a healthcare provider for a thorough evaluation. This may include a pelvic examination, ultrasound imaging, and possibly blood tests to assess hormone levels. A healthcare provider may also consider performing a biopsy of the endometrial lining if there are concerns about hyperplasia or other abnormalities.

As for whether your condition will resolve on its own, it is difficult to predict without a comprehensive evaluation. Some cases of abnormal bleeding may resolve spontaneously, particularly if they are related to temporary hormonal fluctuations. However, persistent or recurrent abnormal bleeding should be addressed to rule out any serious underlying conditions and to provide appropriate treatment.

In summary, abnormal menstrual bleeding can stem from various causes, including hormonal imbalances, structural abnormalities, and underlying medical conditions. Given your history of a teratoma and the recent changes in your menstrual cycle, it is essential to seek medical advice for a thorough evaluation and appropriate management. Early intervention can help address any underlying issues and restore your menstrual health.

Similar Q&A

Understanding Abnormal Vaginal Bleeding: Causes and Concerns

Hello Doctor, I am 155 cm tall and weigh 50 kg. I was previously diagnosed with polycystic ovary syndrome (PCOS), and I have excessive body hair and frequently experience acne, which appears on my chest and back. Although my menstrual cycle has been irregular over the past two ye...

Dr. Cao Guotao reply Obstetrics and Gynecology
You may consider taking birth control pills to regulate your menstrual cycle; you can consult your obstetrician-gynecologist about this. Wishing you good health.

Frequent Abnormal Bleeding: Understanding Possible Causes and Concerns

Hello Doctor, I have been experiencing abnormal bleeding recently. The last instance of intermenstrual bleeding occurred after straining during a bowel movement and lasted for about five days. My gynecologist diagnosed it as ovulation bleeding without conducting a blood test. I h...

Dr. Lin Manying reply Obstetrics and Gynecology
Hello, Miss: Regarding the issue you raised, if the ultrasound examination is normal and the Pap smear results are normal (without inflammation or abnormalities), then it can be determined as dysfunctional uterine bleeding, which is related to hormonal imbalance. It is recommende...

Understanding Abnormal Bleeding: Causes and Concerns for Women

I am #145291. I later visited a doctor who suggested that it might be due to excessive stress. On April 13th or 14th, I noticed a slight increase in blood flow, but it was manageable with a panty liner; the bleeding was not heavy enough to require a sanitary pad, and there was al...

Dr. Lin Manying reply Obstetrics and Gynecology
Hello, Miss: Irregular lifestyle is a common cause of menstrual disorders, but if it persists for a period of time, it is recommended to visit a gynecologist for further examination. Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Understanding Irregular Menstrual Cycles and Their Connection to Anemia

Menstrual irregularities can occur for various reasons, including hormonal imbalances, stress, changes in weight, or underlying medical conditions. It's not uncommon for periods to be delayed for 1 to 2 months and then return to a regular cycle. Anemia can also be related to...

Dr. Chen Fuhao reply Obstetrics and Gynecology
"Hello! The so-called normal menstruation occurs under conditions of normal female endocrine function, characterized by periodic and regular ovulation, followed by the shedding of the endometrium and bleeding. The typical cycle ranges from 21 to 35 days. Dysfunctional uterin...