[20F] Experiencing irregular heavy menstrual bleeding with mood swings

What might be happening

Based on the information you've provided, here are a few possibilities:

• Menstrual Cycle Variation: It's not uncommon for menstrual cycles to vary a bit. Stress, changes in weight or exercise habits, and other factors can cause your cycle to be a few days late. The heavy bleeding and clots you described could be part of a heavier-than-usual period, especially given your history of Menorrhagia.

  • Treatment typically involves managing symptoms. Over-the-counter pain relievers can help with cramps, and maintaining a healthy lifestyle can help regulate your cycle.

• Pregnancy: If you've been sexually active without using contraception, it's possible that you could be pregnant. Some women experience implantation bleeding, which can sometimes be mistaken for a period. However, implantation bleeding is typically lighter and shorter than a period. The breast tenderness and mood swings you described could also be early signs of pregnancy.

  • If you suspect you might be pregnant, you should take a home pregnancy test. If the test is positive or if your symptoms continue, you should see a healthcare provider for further evaluation.

• Premenstrual Syndrome (PMS): The mood swings and breast tenderness you described could be symptoms of PMS, which typically occur in the week or two leading up to your period.

  • Treatment typically involves managing symptoms. Over-the-counter pain relievers can help with physical symptoms, and lifestyle changes (like regular exercise and a healthy diet) can help with mood symptoms.

What you can do

1. Take a home pregnancy test if there's a chance you could be pregnant.
2. Try over-the-counter pain relievers to help with cramps.
3. Maintain a healthy lifestyle, including regular exercise and a balanced diet, to help regulate your menstrual cycle and manage mood symptoms.
4. Keep track of your symptoms and menstrual cycle. This information can be helpful if you decide to see a healthcare provider.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

• Severe abdominal or pelvic pain
• Heavy bleeding that soaks through one or more tampons or pads every hour for several hours
• Signs of pregnancy (like a positive home pregnancy test) along with severe abdominal pain or heavy bleeding, which could be signs of an ectopic pregnancy (a medical emergency)

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare provider for a formal diagnosis and treatment.