[39F] Experiencing prolonged menstrual bleeding post-miscarriage

What might be happening

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

• Fibroids: Uterine fibroids are noncancerous growths of the uterus that often appear during childbearing years. They can cause prolonged menstrual bleeding, heavy menstrual bleeding, and other symptoms. Since you have a history of fibroids, this could be a contributing factor.

  • Treatment: Treatment options for fibroids include medications to regulate your menstrual cycle, non-invasive procedures, minimally invasive procedures, and traditional surgical options. Your doctor can help determine the best course of action based on the size and location of the fibroids and your symptoms.

• Hormonal Imbalance: After a miscarriage, your body may take some time to regulate your hormones, which can lead to irregular or prolonged menstrual bleeding.

  • Treatment: Hormonal treatments, such as birth control pills or hormone therapy, can help regulate your menstrual cycle. Your doctor may also recommend lifestyle changes, such as stress management and a balanced diet, to help stabilize your hormones.

• Endometrial Hyperplasia: This condition involves the thickening of the uterine lining, which can cause prolonged or heavy menstrual bleeding. It can be related to hormonal imbalances and other factors.

  • Treatment: Treatment may include hormonal therapy or a procedure to remove the thickened lining. Your doctor can provide more information based on your specific situation.

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. Track Your Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes or patterns. This information can be valuable for your healthcare provider.
2. Stay Hydrated: Drink plenty of water to stay hydrated, especially if you are experiencing prolonged bleeding.
3. Maintain a Balanced Diet: Ensure you are eating a nutritious diet rich in iron to help prevent anemia, which can occur with prolonged bleeding.
4. Rest: Make sure to get enough rest and avoid strenuous activities that could exacerbate your symptoms.

What you should look out for

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

• Heavy Bleeding: If you start soaking through pads or tampons quickly (more than one every hour), seek medical attention.
• Severe Pain: If you develop severe abdominal or pelvic pain, contact your healthcare provider.
• Signs of Anemia: If you experience symptoms such as extreme fatigue, weakness, dizziness, or shortness of breath, you may be anemic and should seek medical care.
• Fever or Foul Odor: If you develop a fever or notice a foul odor associated with the bleeding, this could indicate an infection and requires prompt medical attention.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have any further questions or need additional support, please don't hesitate to reach out.