Irregular Menstrual Cycles: Causes and Concerns - Obstetrics and Gynecology

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Menstrual cycle irregularities?


Hello doctor, I had sexual intercourse with my boyfriend on July 1st, and he ejaculated.
However, I got my period from July 10th to July 16th.
While I was on the night shift, working from 12:00 AM to 9:00 AM, on July 25th, I expelled something that looked like menstrual blood, but it wasn't dark in color and had a bloody smell, and it has continued until now.
Could you please provide me with some answers?

Noemie, 20~29 year old female. Ask Date: 2012/08/04

Dr. Dong Yuhong reply Obstetrics and Gynecology


Hello: If you experience abnormal menstrual symptoms or any unusual phenomena, you should seek medical attention for an examination.
The physician will provide appropriate explanations based on the examination results.
Thank you!

Reply Date: 2012/08/04

More Info


Irregular menstrual cycles can be concerning and may arise from a variety of factors. Based on your description, it seems you experienced a normal menstrual period from July 10 to July 16, followed by an unusual discharge that you describe as resembling menstruation, but with a lighter color and a bloody odor, starting on July 25.
There are several potential causes for irregular menstrual cycles and abnormal bleeding:
1. Hormonal Imbalances: The menstrual cycle is regulated by a complex interplay of hormones. Stress, significant weight changes, or hormonal disorders such as polycystic ovary syndrome (PCOS) can lead to irregularities. Night shifts and changes in your work schedule can also disrupt your circadian rhythm, which may affect hormone levels.

2. Ovulation: Sometimes, light bleeding or spotting can occur during ovulation, which is typically around the midpoint of your cycle. This is known as ovulation bleeding and is usually light and short-lived.

3. Implantation Bleeding: If there is a possibility of pregnancy, light bleeding can occur when a fertilized egg attaches to the uterine lining, known as implantation bleeding. This typically occurs about a week after conception, which could align with your timeline.

4. Infections: Certain infections, including sexually transmitted infections (STIs) or pelvic inflammatory disease (PID), can cause abnormal bleeding and discharge. If you have any additional symptoms such as pain, fever, or unusual discharge, it is essential to seek medical attention.

5. Uterine Fibroids or Polyps: These benign growths in the uterus can cause irregular bleeding. They are often asymptomatic but can lead to changes in menstrual patterns.

6. Endometrial Issues: Conditions such as endometriosis or endometrial hyperplasia can lead to irregular bleeding and should be evaluated by a healthcare provider.

Given your symptoms, it is advisable to consult with a healthcare professional for a thorough evaluation. They may recommend a pelvic exam, ultrasound, or blood tests to assess hormone levels and rule out any underlying conditions.
In the meantime, keep track of your menstrual cycle, noting any changes in flow, color, and associated symptoms. This information can be valuable for your healthcare provider in determining the cause of your irregularities.
Remember, while some irregularities can be benign, persistent changes in your menstrual cycle warrant further investigation to ensure your reproductive health is maintained.

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