[21F] Experiencing continuous vaginal bleeding and discharge while on Depo-Provera

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Breakthrough Bleeding on Depo-Provera: It's not uncommon to experience irregular bleeding or spotting while on Depo-Provera, especially in the first few months. However, continuous and heavy bleeding is less typical and should be evaluated by a healthcare provider.

  • Treatment: Your doctor might suggest waiting it out, as some women experience irregular bleeding that eventually resolves. They might also recommend additional hormonal treatments to stabilize the bleeding.

• Bacterial Vaginosis (BV): This is a common vaginal infection caused by an imbalance of bacteria in the vagina. Symptoms include a fishy odor, abnormal discharge (often thin and grayish), and sometimes itching.

  • Treatment: BV is typically treated with antibiotics prescribed by a healthcare provider.

• Sexually Transmitted Infections (STIs): Infections like chlamydia or gonorrhea can cause abnormal discharge, odor, and bleeding, especially after sex.

  • Treatment: STIs are diagnosed through testing and treated with antibiotics or antiviral medications, depending on the infection.

• Yeast Infection: This is another common cause of thick, white, or yellowish discharge and itching. It can sometimes cause irritation and bleeding, especially after sex.

  • Treatment: Over-the-counter antifungal treatments are available, but a healthcare provider can prescribe stronger medications if needed.

What you can do

While you should definitely consult a healthcare provider for a formal diagnosis and treatment, here are some steps you can take in the meantime:

1. Keep a Symptom Journal: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. Note the frequency, duration, and severity of your symptoms.
2. Maintain Good Hygiene: Keep the vaginal area clean and dry. Avoid using scented products that can irritate the area.
3. Avoid Irritants: Refrain from using douches, scented tampons, or pads, as these can disrupt the natural balance of bacteria in the vagina.
4. Stay Hydrated: Drink plenty of water to help flush out any potential infections.
5. Use Protection: Continue using condoms during sex to prevent potential STIs and reduce irritation.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe Pain: If you develop severe abdominal or pelvic pain.
• Fever: If you develop a fever (temperature over 100.4°F).
• Heavy Bleeding: If the bleeding becomes very heavy (soaking through a pad or tampon every hour).
• Worsening Symptoms: If your symptoms worsen or do not improve with initial self-care measures.

Remember, while I can provide information and suggestions, it's important to consult a healthcare provider for a formal diagnosis and appropriate treatment.