Abnormal Bleeding: When to Seek Medical Advice

Abnormal bleeding

I have been menstruating for over half a month, and this is my first time.
I also feel discomfort in my lower abdomen.
This situation is not normal, right? Thank you, Dr.
Lin!

Lin, 40~49 year old female. Ask Date: 2016/02/18

Dr. Lin Manying reply Obstetrics and Gynecology

A menstrual period lasting longer than 7 days is considered prolonged, and it is recommended to seek medical attention.

Reply Date: 2016/02/18

More Info

Abnormal bleeding can be a concerning issue for many women, and understanding when to seek medical advice is crucial for maintaining reproductive health. Based on your description, it appears that you are experiencing prolonged menstrual bleeding for over half a month, accompanied by discomfort in the lower abdomen. This situation is indeed not typical and warrants further investigation.

Firstly, it is essential to recognize what constitutes abnormal bleeding. Normal menstrual cycles typically last between 21 to 35 days, with bleeding lasting from 2 to 7 days. If you find that your bleeding exceeds this duration, or if you experience heavy bleeding (soaking through one or more pads or tampons every hour for several consecutive hours), it is advisable to consult a healthcare provider. Additionally, if you notice any significant changes in your menstrual cycle, such as irregular timing, unexpected bleeding between periods, or postmenopausal bleeding, these are also indicators that you should seek medical attention.

In your case, since you have been bleeding for more than two weeks, it is crucial to consider the potential underlying causes. Prolonged bleeding can result from various factors, including hormonal imbalances, uterine fibroids, polyps, endometriosis, or even more serious conditions such as infections or malignancies. The discomfort in your lower abdomen could be related to these conditions, particularly if there is an underlying issue affecting the uterus or ovaries.

When you visit a healthcare provider, they will likely conduct a thorough evaluation, which may include a physical examination, pelvic ultrasound, and possibly blood tests to assess your hormone levels and rule out any underlying conditions. They may also inquire about your medical history, including any previous menstrual irregularities, contraceptive use, and any other symptoms you may be experiencing, such as pain, fever, or unusual discharge.

In terms of immediate steps you can take, it is essential to monitor your symptoms closely. Keep track of the amount and color of your bleeding, any associated pain, and any other symptoms that may arise. This information will be valuable for your healthcare provider in determining the appropriate course of action. If your bleeding becomes heavier, or if you experience severe pain, dizziness, or fainting, you should seek emergency medical care.

In conclusion, while some variations in menstrual cycles can be normal, prolonged bleeding accompanied by discomfort is a sign that you should seek medical advice. Early intervention can help identify any underlying issues and provide appropriate treatment, ensuring your reproductive health is maintained. Do not hesitate to reach out to a healthcare professional to discuss your symptoms and receive the care you need. Your health is paramount, and addressing these concerns promptly is the best course of action.

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