[19F] With continuous menstrual bleeding and associated symptoms

What might be happening

Based on the information you have provided, here are some possible conditions that could explain your symptoms:

• Polycystic Ovary Syndrome (PCOS): PCOS is a common hormonal disorder among women of reproductive age. It can cause prolonged or infrequent menstrual periods, excess hair growth, acne, and obesity. The exact cause of PCOS is unknown. Treatment often involves lifestyle changes and medications to regulate periods and manage symptoms.

  • Treatment: Lifestyle changes such as weight loss, exercise, and a healthy diet can help manage symptoms. Medications like hormonal birth control can regulate periods, and other medications can help with symptoms like acne and excess hair growth.

• Hypothyroidism: This condition occurs when your thyroid gland doesn't produce enough thyroid hormones. Symptoms can include prolonged menstrual bleeding, weight gain, depression, and fatigue. Since you are already on Levothyroxine, it might be necessary to adjust your dosage.

  • Treatment: Regular monitoring of thyroid levels and adjusting the dosage of thyroid medication as needed.

• Endometrial Hyperplasia: This condition involves the thickening of the uterine lining and can cause prolonged menstrual bleeding. It is often due to an imbalance of estrogen and progesterone.

  • Treatment: Hormonal treatments such as progestin can help manage the condition. In some cases, a procedure to remove the thickened lining may be necessary.

• Depression and Anxiety: These mental health conditions can sometimes exacerbate physical symptoms and make it difficult to manage other health issues.

  • Treatment: Counseling, therapy, and medications can help manage depression and anxiety. Lifestyle changes such as regular exercise and a healthy diet can also be beneficial.

What you can do

1. Consult a Doctor: It is crucial to consult a healthcare provider to get a formal diagnosis and appropriate treatment. They may order blood tests, ultrasounds, or other diagnostic tests to determine the underlying cause of your symptoms.
2. Monitor Your Symptoms: Keep a detailed record of your menstrual cycle, including the duration and intensity of bleeding, as well as any other symptoms you experience. This information will be helpful for your healthcare provider.
3. Healthy Lifestyle: Maintain a balanced diet, exercise regularly, and manage stress to help alleviate some symptoms. Weight management can be particularly beneficial if you have PCOS or hypothyroidism.
4. Medication Adherence: Continue taking your Levothyroxine as prescribed and discuss any concerns about your dosage with your doctor.

What you should look out for

• Severe Symptoms: Seek immediate medical attention if you experience severe pain, very heavy bleeding (soaking through a pad or tampon every hour), dizziness, or fainting.
• Mental Health: If you have thoughts of self-harm or suicide, seek help immediately from a mental health professional or call emergency services.
• Regular Check-ups: Regular follow-ups with your healthcare provider are essential to monitor your condition and adjust treatments as necessary.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.