[34F] With severe lower abdominal pain and heavy bleeding

What might be happening

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

• Dysfunctional Uterine Bleeding (DUB): This is a condition where there is abnormal bleeding from the uterus, often due to hormonal imbalances. It can cause heavy and prolonged bleeding, as well as pain.

  • Treatment: Typically involves hormonal therapies such as birth control pills, or other medications to help regulate the menstrual cycle. In some cases, surgical options may be considered.

• Endometriosis: A condition where tissue similar to the lining inside the uterus grows outside the uterus, causing pain and heavy bleeding.

  • Treatment: May include pain relief medications, hormonal therapies, and in some cases, surgery to remove the endometrial tissue.

• Uterine Fibroids: Non-cancerous growths in the uterus that can cause heavy menstrual bleeding, pain, and pressure in the pelvic area.

  • Treatment: Options include medications to control symptoms, non-invasive procedures, or surgery to remove the fibroids.

• Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs that can cause pain, heavy bleeding, and unusual vaginal discharge.

  • Treatment: Typically involves antibiotics to clear the infection.

• Polycystic Ovary Syndrome (PCOS): A hormonal disorder that can cause irregular menstrual cycles, heavy bleeding, and pain.

  • Treatment: Often involves lifestyle changes, medications to regulate the menstrual cycle, and treatments to manage symptoms.

What you can do

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

1. Rest and Limit Movement: Since you mentioned that movement increases the bleeding, try to rest as much as possible to minimize bleeding.
2. Stay Hydrated: Drink plenty of fluids to stay hydrated, especially if you are losing a significant amount of blood.
3. Monitor Your Symptoms: Keep track of your bleeding, pain, and any other symptoms. Note the frequency, duration, and severity. This information will be helpful for your healthcare provider.
4. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen may help manage the pain. However, consult with a healthcare provider before taking any medication.
5. Use MDandMe: Utilize the MDandMe app to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

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

• Severe Pain: If the pain becomes unbearable or significantly worsens.
• Heavy Bleeding: If you continue to bleed heavily or pass large clots.
• Signs of Infection: Such as fever, chills, or unusual vaginal discharge with a foul odor.
• Dizziness or Fainting: If you feel lightheaded, dizzy, or faint, which could indicate significant blood loss.
• Rapid Heartbeat or Shortness of Breath: These could be signs of anemia or other complications.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a proper diagnosis and treatment plan. If your symptoms persist or worsen, please seek medical attention promptly.