[24F] Experiencing irregular periods with large blood clots

Patient Description

A 24-year-old female reports experiencing irregular periods since menarche, with her periods often skipping months before resuming. Recently, for the past three days, her period has consisted solely of large blood clots without regular blood. This is her first period in the last three months. She has also noticed a loss of appetite but no changes in weight. The patient tends to stress a lot, which may contribute to her symptoms. She has a bit of chin hair, oily skin on her nose, and has experienced unexplained weight gain or difficulty losing weight. She has not experienced hair thinning or hair loss on her scalp, darkening of the skin around the neck or underarms, or pelvic pain. There is no known family history of diabetes, heart disease, or hormonal disorders. She has never been evaluated for hormonal or endocrine disorders and is not currently taking any medications.

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Arora's Assessment

What might be happening

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

  • Polycystic Ovary Syndrome (PCOS): PCOS is a common hormonal disorder that can cause irregular periods, weight gain, and excess hair growth. It can also lead to the formation of ovarian cysts, which might contribute to the presence of large blood clots during your period.

    • Typical Treatments: Treatment for PCOS often includes lifestyle changes such as diet and exercise, medications to regulate menstrual cycles, and sometimes medications to manage symptoms like hair growth or acne. Hormonal birth control is commonly prescribed to help regulate periods.
  • Hormonal Imbalance: Irregular periods and the presence of large blood clots can be a sign of hormonal imbalances, which can be influenced by stress, weight changes, or other underlying conditions.

    • Typical Treatments: Treatment may involve hormone therapy, lifestyle changes, and managing stress levels. A healthcare provider might also recommend blood tests to check hormone levels.
  • Uterine Fibroids: These are non-cancerous growths in the uterus that can cause heavy menstrual bleeding, blood clots, and irregular periods.

    • Typical Treatments: Treatment options include medications to control symptoms, non-invasive procedures, or surgery in more severe cases.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Track Your Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes or patterns. This information can be very helpful for your healthcare provider.
  2. Manage Stress: Since stress can impact your menstrual cycle, try stress-reducing activities such as yoga, meditation, or deep-breathing exercises.
  3. Maintain a Healthy Diet: Eating a balanced diet rich in fruits, vegetables, and whole grains can help regulate your hormones and improve overall health.
  4. Stay Hydrated: Drink plenty of water to help manage your symptoms and maintain overall well-being.
  5. Exercise Regularly: Regular physical activity can help regulate your menstrual cycle and manage weight.

What you should look out for

It's important to seek medical attention if you experience any of the following:

  • Severe Pain: If you experience severe abdominal or pelvic pain, seek medical attention promptly.
  • Heavy Bleeding: If you are soaking through a pad or tampon every hour for several hours, this could be a sign of excessive bleeding and should be evaluated by a healthcare provider.
  • Dizziness or Fainting: If you feel dizzy or faint, this could be a sign of significant blood loss or other underlying issues.
  • New or Worsening Symptoms: If you notice any new symptoms or if your current symptoms worsen, it's important to consult a healthcare provider.

Remember, while this information can help guide you, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the common symptoms of Polycystic Ovary Syndrome (PCOS)?

Common symptoms of PCOS include irregular periods, excess hair growth (hirsutism), acne, weight gain, and sometimes ovarian cysts. Women with PCOS may also experience difficulty getting pregnant.


How can stress affect menstrual cycles?

Stress can affect menstrual cycles by disrupting the balance of hormones that regulate the menstrual cycle, potentially leading to irregular periods or skipped cycles. Stress management techniques can help mitigate these effects.


What are the treatment options for hormonal imbalances?

Treatment options for hormonal imbalances may include hormone therapy, lifestyle changes such as diet and exercise, and stress management. Blood tests may be conducted to determine specific hormone levels and guide treatment.


When should someone seek medical attention for menstrual issues?

Medical attention should be sought if there is severe abdominal or pelvic pain, heavy bleeding (soaking through a pad or tampon every hour for several hours), dizziness or fainting, or if new or worsening symptoms occur.


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