[18F] Experiencing increased menstrual blood clots and irregular periods

Patient Description

An 18-year-old female reports experiencing increased blood clots during her periods over the past three months. Her periods, which typically last 5-6 days, have become irregular, with unpredictable end dates. The flow varies in heaviness, and the clots range from large to small and stringy. She has been unintentionally losing weight and experiencing fatigue, red marks on her body, changes in appetite, and temperature sensitivity. There is a family history of thyroid disorders, and she was diagnosed with alopecia areata in first grade. She has no known medication allergies and is not currently taking any medications or supplements.

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Arora's Assessment

What might be happening

Your symptoms could be related to several factors:

  1. Hormonal Imbalance: Changes in your menstrual cycle, including irregular periods and blood clots, can be due to hormonal imbalances. This might be influenced by stress, weight changes, or thyroid issues, especially given your family history.

  2. Thyroid Disorders: Unintentional weight loss, fatigue, and changes in appetite and temperature sensitivity could suggest a thyroid issue, such as hyperthyroidism. Thyroid disorders can also affect your menstrual cycle.

  3. Alopecia Areata: While primarily affecting hair, autoimmune conditions like alopecia areata can sometimes be associated with other systemic symptoms.

Typical treatments or tests might include blood tests to check hormone levels, thyroid function tests, and possibly an ultrasound to assess your reproductive organs.

What you can do

For Menstrual Changes and Blood Clots:

  • Keep a detailed journal of your menstrual cycle, including flow, clots, and any other symptoms. You can use MDandMe to track these changes and share them with your healthcare provider.
  • Ensure you maintain a balanced diet and manage stress, as these can impact your cycle.

For Fatigue and Weight Changes:

  • Schedule an appointment with your healthcare provider to discuss your symptoms and consider testing for thyroid function.
  • Ensure you are eating a nutritious diet and getting adequate rest.

What you should look out for

  • If you experience very heavy bleeding (soaking through a pad or tampon every hour), severe pain, or dizziness, seek medical attention promptly.
  • Monitor for any new symptoms, such as swelling in the neck or changes in your voice, and report these to your doctor.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

What could cause increased blood clots during menstruation?

Increased blood clots during menstruation can be caused by hormonal imbalances, uterine fibroids, or other underlying health conditions. It's important to track your symptoms and consult with a healthcare provider for proper evaluation.

How can thyroid disorders affect menstrual cycles?

Thyroid disorders, such as hyperthyroidism or hypothyroidism, can disrupt the balance of hormones that regulate the menstrual cycle, leading to irregular periods, changes in flow, and increased clotting.

What are common symptoms of hyperthyroidism?

Common symptoms of hyperthyroidism include unintentional weight loss, fatigue, increased appetite, sensitivity to heat, and changes in menstrual patterns. It's important to get a thyroid function test if you suspect hyperthyroidism.

How can stress and diet impact menstrual cycles?

Stress can lead to hormonal imbalances that affect the menstrual cycle, causing irregular periods or changes in flow. A poor diet lacking essential nutrients can also impact hormone levels and menstrual health. Maintaining a balanced diet and managing stress are important for regular menstrual cycles.

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