[26F] With prolonged heavy vaginal bleeding

What might be happening

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

1. Hormonal Imbalance: Changes in hormone levels can lead to irregular or heavy menstrual bleeding. This can be due to stress, weight changes, or other factors affecting your hormonal balance.

   • Treatment often involves hormonal therapies such as birth control pills to regulate the menstrual cycle.

2. Uterine Fibroids or Polyps: These are non-cancerous growths in the uterus that can cause heavy bleeding. They are more common in women in their 20s and 30s.

   • Diagnosis typically involves an ultrasound, and treatment can range from medication to surgical options, depending on the size and symptoms.

3. Endometrial Hyperplasia: This is a condition where the lining of the uterus becomes too thick, often due to excess estrogen. It can cause heavy or prolonged bleeding.

   • Treatment may include hormonal therapy or a procedure to remove excess tissue.

4. Coagulation Disorders: Although you mentioned no history of bleeding disorders, sometimes these can present later in life or be mild enough to go unnoticed until a triggering event.

   • Blood tests can help diagnose these conditions, and treatment would depend on the specific disorder.

What you can do

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

1. Track Your Symptoms: Use MDandMe to journal your bleeding patterns, including the number of pads used and any other symptoms. This information can be valuable for your healthcare provider.

2. Maintain a Healthy Lifestyle: Ensure you're eating a balanced diet rich in iron to prevent anemia from blood loss. Foods like spinach, red meat, and beans are good sources of iron.

3. Stay Hydrated: Drink plenty of fluids to help maintain your overall health and well-being.

4. Avoid Aspirin: As it can increase bleeding, try to avoid aspirin or other blood-thinning medications unless prescribed by a doctor.

What you should look out for

Seek medical attention if you experience any of the following:

• Dizziness or fainting, which could indicate anemia.
• Bleeding that soaks through a pad or tampon every hour for several hours.
• Any new symptoms such as severe pain, fever, or unusual discharge.
• If your symptoms worsen or do not improve, it's important to see a healthcare provider for further evaluation.

Remember, while this information can be helpful, it's crucial to consult with a healthcare professional for a proper diagnosis and treatment plan.