[35F] Experiencing heavy vaginal bleeding, lower back pain, and heart palpitations

What might be happening

Based on the symptoms you've provided, possible diagnoses include:

• Uterine Fibroids: These are noncancerous growths of the uterus that often appear during childbearing years. Symptoms can include heavy menstrual bleeding, prolonged periods, and pelvic pressure or pain.

  • Treatment options can range from medication to manage symptoms, to surgical procedures to remove the fibroids.

• Polycystic Ovary Syndrome (PCOS): This is a hormonal disorder common among women of reproductive age. You've mentioned you have a history of PCOS, and irregular or prolonged menstrual periods are a common symptom.

  • Treatment of PCOS typically involves lifestyle changes and medication to manage symptoms and prevent complications.

• Endometrial Hyperplasia: This is a condition in which the endometrium (lining of the uterus) becomes too thick. It's not cancer, but in some cases, it can lead to cancer of the uterus.

  • Treatment usually involves hormone therapy, and in severe cases, surgery may be necessary.

• Thyroid Disorders: You've mentioned you have a history of hypothyroidism, and thyroid disorders can sometimes cause heavy or irregular periods.

  • Treatment typically involves medication to manage the thyroid disorder, which may help alleviate the menstrual symptoms.

Please note, this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. Here are some steps you can take:

1. Schedule an appointment with your healthcare provider. They can perform a physical examination and may order tests such as a pelvic ultrasound or endometrial biopsy to help determine the cause of your symptoms.
2. Keep track of your symptoms. Note the frequency and volume of your bleeding, any associated symptoms, and anything that makes your symptoms better or worse.
3. Continue taking your prescribed medication as directed by your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience:

• Severe abdominal pain
• Dizziness, fainting, or a rapid heartbeat, which could indicate that you're losing too much blood
• Difficulty breathing
• Any other severe or worsening symptoms

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.