[22F] Experiencing severe menstrual bleeding and associated symptoms

Patient Description

A 22-year-old female presents with severe menstrual bleeding, going through a pad and tampon every hour, accompanied by blood clots approximately 3 inches in size occurring about 10 times per day. This is the first occurrence of such severe symptoms. She has also been experiencing moderate, nausea-inducing dizziness described as a spinning sensation for one week. The patient reports fatigue but no paleness, chest pain, or rapid heart rate. She has a known allergy to amoxicillin, which causes hives. No other pre-existing conditions, chronic illnesses, or current medications were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the most likely possibilities include:

  • Menorrhagia: This is a condition characterized by heavy or prolonged menstrual bleeding. It can be caused by a variety of factors, including hormonal imbalances, uterine fibroids, polyps, or, in rare cases, a bleeding disorder.

    • Treatment options can range from hormonal therapies (like birth control pills) to surgical procedures, depending on the underlying cause.
  • Iron Deficiency Anemia: This can result from the heavy menstrual bleeding you've described. Symptoms can include fatigue, dizziness, and shortness of breath.

    • Treatment typically involves iron supplements and addressing the underlying cause of the heavy bleeding.

Please note that these are possible explanations based on the information you've provided, but they are not definitive diagnoses. It's important to consult with a healthcare provider for a formal evaluation.

What you can do

Here are some steps you can take:

  1. Schedule an appointment with your healthcare provider as soon as possible. They can perform a physical examination and may order tests such as blood tests or an ultrasound to determine the cause of your symptoms.

  2. In the meantime, try to rest and stay hydrated. Over-the-counter pain relievers such as ibuprofen can help with menstrual cramps and temporarily reduce bleeding.

  3. Keep track of your symptoms, including the severity of your bleeding and any changes in your menstrual cycle. This information can be helpful for your healthcare provider.

What you should look out for

Seek immediate medical attention if:

  • Your bleeding becomes so heavy that you're soaking through more than one pad or tampon every hour for several hours.
  • You're feeling dizzy or lightheaded and it's not improving.
  • You develop severe abdominal pain.
  • You're feeling short of breath or having chest pain.

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

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11 mo ago

People Also Ask


What causes menorrhagia and how is it treated?

Menorrhagia can be caused by hormonal imbalances, uterine fibroids, polyps, or bleeding disorders. Treatment options include hormonal therapies like birth control pills or surgical procedures, depending on the underlying cause.


Can heavy menstrual bleeding lead to anemia?

Yes, heavy menstrual bleeding can lead to iron deficiency anemia because the body loses more blood cells than it can replace, leading to a shortage of iron.


What are the symptoms of iron deficiency anemia?

Symptoms of iron deficiency anemia include fatigue, dizziness, shortness of breath, and sometimes paleness. It is important to consult a healthcare provider for diagnosis and treatment.


When should I seek immediate medical attention for heavy menstrual bleeding?

You should seek immediate medical attention if you are soaking through more than one pad or tampon every hour for several hours, feeling dizzy or lightheaded without improvement, experiencing severe abdominal pain, or having shortness of breath or chest pain.


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