Irregular Menstrual Bleeding: When to Seek Help

Q: Irregular Menstrual Bleeding: When to Seek Help

Hello： Based on your description of symptoms, the preliminary diagnosis should be dysfunctional uterine bleeding (DUB) caused by hormonal imbalance. <br>However, I still recommend that you have a personal examination by a physician to confirm the underlying cause. <br>If it is DU

Menorrhagia (excessive menstrual bleeding)

Dr.
Lin, regarding the previous question about continuous menstruation, after the doctor prescribed medication, I did stop menstruating for about 10 days.
However, he advised me to wait until my period comes and then finish before going for a Pap smear.
But you mentioned that I could have the Pap smear after the bleeding stops.
Now that I have started bleeding again, is this normal? I am feeling quite anxious.
Should I consider switching to another hospital? Thank you.

Xiwang, 30~39 year old female. Ask Date: 2015/03/18

Dr. Lin Manying reply Obstetrics and Gynecology

Hello: Based on your description of symptoms, the preliminary diagnosis should be dysfunctional uterine bleeding (DUB) caused by hormonal imbalance.
However, I still recommend that you have a personal examination by a physician to confirm the underlying cause.
If it is DUB, it is suggested to take a course of medication (such as for 21 days) and then stop the medication to achieve a withdrawal bleed, which can help establish a regular menstrual cycle.
This may explain the bleeding you experienced after taking the medication for 10 days.
A Pap smear can be performed during a period without bleeding, so it would be advisable to schedule the Pap test during a time when you are not experiencing any bleeding while on medication.
Please visit the outpatient clinic for further evaluation and treatment.

Reply Date: 2015/03/18

More Info

Irregular menstrual bleeding can be a source of significant concern and anxiety for many women. It is essential to understand that menstrual cycles can vary widely among individuals and can be influenced by a variety of factors, including hormonal imbalances, stress, lifestyle changes, and underlying medical conditions.
In your case, it seems that you experienced a period of amenorrhea (absence of menstruation) for about ten days after starting medication prescribed by your doctor. This is not uncommon, as certain medications can help regulate menstrual cycles by adjusting hormone levels. However, the return of bleeding after a period of amenorrhea can be confusing and concerning. It is important to note that some women may experience breakthrough bleeding or spotting when they start or change hormonal medications. This can be a normal response as your body adjusts to the new hormonal levels.

If you are experiencing irregular bleeding, it is crucial to monitor the characteristics of the bleeding. For instance, consider the following questions:
- How heavy is the bleeding? Is it similar to your regular menstrual flow, or is it lighter or heavier?
- Are there any accompanying symptoms, such as severe pain, dizziness, or unusual discharge?
- How long does the bleeding last? Is it just spotting, or does it continue for several days?
If the bleeding is light and does not last long, it may be a normal response to the medication. However, if the bleeding is heavy, prolonged, or accompanied by other concerning symptoms, it is advisable to seek medical attention promptly.

Regarding your question about whether to change hospitals or seek a second opinion, it is always within your rights as a patient to seek further evaluation if you feel that your concerns are not being adequately addressed. If you are feeling anxious or uncertain about your current treatment plan, it may be beneficial to consult with another healthcare provider who specializes in women's health. They can provide additional insights, perform necessary examinations, and help you understand the underlying causes of your irregular bleeding.

In general, when to seek help for irregular menstrual bleeding includes:
1. If you experience bleeding that lasts longer than seven days.

2. If you need to change pads or tampons every hour for several consecutive hours.

3. If you experience severe pain or discomfort.

4. If you notice any unusual symptoms, such as fever or foul-smelling discharge.

5. If you have any concerns about your menstrual cycle that are causing you significant anxiety.

In conclusion, while some irregular bleeding can be a normal response to hormonal changes, it is essential to remain vigilant and proactive about your health. If you have any doubts or concerns, do not hesitate to reach out to a healthcare professional for guidance. Your health and peace of mind are paramount, and seeking clarity on your situation is always a wise decision.

Similar Q&A

Understanding Irregular Menstrual Cycles: Causes and Solutions

Hello Dr. Chen, I experience my menstrual period every month, but the intervals are less than ten days. My cycles have been irregular, and for the past two months, I have been experiencing continuous bleeding, although the flow is not heavy. What should I do? I am married with ...

Dr. Chen Fuhao reply Obstetrics and Gynecology
Ms. Yang: Hello, your question is a common issue in general gynecological outpatient clinics, with about one-quarter of women experiencing similar concerns. Modern women face pressures from heavy academic workloads, careers, and household responsibilities, leading to irregular me...

Understanding Irregular Menstrual Cycles: Causes and Concerns

I'm sorry, but I can't provide medical advice. However, it sounds like you are experiencing irregularities in your menstrual cycle. It's important to consult with a healthcare professional to discuss your symptoms and any concerns you may have regarding your menstr...

Dr. Wu Xianghui reply Obstetrics and Gynecology
1. For pregnancy concerns, please take a home pregnancy test or consult a gynecologist for evaluation four weeks after sexual intercourse. 2. Abnormal bleeding and irregular menstrual cycles can have various underlying causes; it is recommended to seek evaluation from a gynecolog...

Understanding Irregular Periods: When to Seek Medical Help

My menstrual cycle has been irregular. I didn't get my period last month and I'm not pregnant. The doctor prescribed me medication to induce my period, and it started on the 1st of this month. The first three days had heavy bleeding with clots, and by the 5th, it was co...

Dr. Xu Junrui reply Obstetrics and Gynecology
If your current condition is not related to pregnancy, it appears to be a more severe case of irregular menstruation. It is advisable to seek medical treatment.

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 ...