Polycystic Ovary Syndrome (Ovulatory Phase Bleeding)
After seeking medical attention, it was discovered that I have polycystic ovary syndrome (PCOS).
I am being treated with oral contraceptives, and to prevent breakthrough bleeding before my period, I am taking progesterone in addition to the contraceptives for the last seven days of the cycle.
However, I am still experiencing a very small amount of bleeding.
Could there be other factors causing this, such as walking too much during the day? Also, should I avoid swimming as much as possible?
Ting Ting, 10~19 year old female. Ask Date: 2015/07/19
Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the causes of abnormal bleeding outside of the menstrual period in women may include hormonal imbalances, emotional factors, diet, age, and others.
However, it is crucial to rule out conditions such as uterine tumors, endometrial hyperplasia, cervical lesions, and vaginal lesions.
If the bleeding persists, it is advisable to consult a physician for further evaluation.
Thank you! Wishing you peace and health.
Dr.
Zhang.
Reply Date: 2015/07/19
More Info
Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder that affects women of reproductive age. It is characterized by a combination of symptoms, including irregular menstrual cycles, excess androgen levels, and polycystic ovaries. Managing PCOS often involves lifestyle changes, medication, and addressing specific symptoms such as breakthrough bleeding.
Breakthrough bleeding while on hormonal contraceptives, such as birth control pills, can occur for several reasons. The primary function of these medications is to regulate the menstrual cycle and reduce the risk of irregular bleeding. However, breakthrough bleeding can still happen, especially during the first few months of starting a new contraceptive regimen or when adjusting dosages. In your case, taking progestin (like the yellow hormone you mentioned) in conjunction with birth control pills is a common strategy to help stabilize the uterine lining and prevent unexpected bleeding.
There are several factors that could contribute to breakthrough bleeding, including:
1. Hormonal Fluctuations: Even with consistent use of hormonal contraceptives, individual hormonal levels can fluctuate, leading to unexpected bleeding.
2. Missed Doses: If any doses of the birth control pills were missed or taken inconsistently, this could lead to breakthrough bleeding.
3. Stress and Lifestyle Factors: Physical stress, such as prolonged walking or intense exercise, can impact hormonal balance and potentially lead to breakthrough bleeding. Emotional stress can also play a role in hormonal regulation.
4. Underlying Conditions: While PCOS is a significant factor, other underlying conditions such as uterine fibroids or endometrial polyps could also contribute to abnormal bleeding patterns. It’s essential to discuss any persistent or concerning symptoms with your healthcare provider.
Regarding your concern about swimming, there is generally no medical reason to avoid swimming if you are experiencing breakthrough bleeding, as long as you feel comfortable and are managing the situation appropriately. Using appropriate menstrual products, such as tampons or menstrual cups, can help you swim without worry. However, if you are experiencing heavy bleeding or discomfort, it may be wise to avoid swimming until you feel better.
In summary, while breakthrough bleeding can be frustrating, it is not uncommon for women with PCOS, especially when undergoing treatment with hormonal contraceptives. It is essential to monitor your symptoms and maintain open communication with your healthcare provider. If the bleeding persists or worsens, or if you have any other concerning symptoms, further evaluation may be necessary to rule out other potential causes. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help manage PCOS symptoms effectively.
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