[43F] Experiencing post-menstrual bleeding

Patient Description

A 43-year-old female reports experiencing bleeding after her menstrual period. The bleeding began as brown spotting and has gradually increased to a light red flow over the past week. She is currently using 1-2 panty liners per day. There are no accompanying symptoms such as pain or foul odor. The patient has not experienced any recent changes in medications, stress levels, lifestyle, menstrual cycle patterns, weight, diet, or exercise habits. Her medical history includes a tubal pregnancy in 2017. She is not currently taking any medications and has no known allergies, although she uses a boric acid suppository monthly.

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Arora's Assessment

What might be happening

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

  1. Hormonal Imbalance: Sometimes, hormonal fluctuations can cause irregular bleeding or spotting after your period. This can happen due to stress, changes in weight, or other factors, even if you haven't noticed any significant changes recently.

  2. Endometrial or Uterine Issues: Conditions such as polyps or fibroids can cause irregular bleeding. These are non-cancerous growths in the uterus that can lead to spotting or bleeding between periods.

  3. Infection or Inflammation: Although you mentioned no pain or foul smell, sometimes mild infections or inflammation in the reproductive tract can cause spotting or light bleeding.

  4. Effects of Boric Acid Suppository: While boric acid is often used to treat yeast infections, it can sometimes cause irritation or changes in vaginal discharge, which might contribute to spotting.

Typical treatments or testing might include a pelvic exam, ultrasound, or blood tests to check hormone levels. Your healthcare provider might also review your use of boric acid suppositories to ensure they're not contributing to the issue.

What you can do

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

  1. Monitor Your Symptoms: Keep track of your bleeding pattern, including the amount and color, using a journal or an app like MDandMe. This information can be helpful for your healthcare provider.

  2. Avoid Irritants: Consider pausing the use of boric acid suppositories to see if your symptoms improve, but consult with a healthcare provider before making any changes to your routine.

  3. Maintain a Healthy Lifestyle: Ensure you're eating a balanced diet, staying hydrated, and managing stress, as these can all impact your menstrual cycle.

  4. Schedule a Check-Up: Make an appointment with your healthcare provider to discuss your symptoms and any necessary tests or treatments.

What you should look out for

Seek medical attention if you experience any of the following:

  • Heavy bleeding that requires more than one pad or tampon per hour
  • Severe abdominal or pelvic pain
  • Foul-smelling discharge
  • Fever or chills
  • Dizziness or fainting

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

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23 d ago

People Also Ask

What could cause bleeding after a menstrual period?

Bleeding after a menstrual period can be caused by several factors, including hormonal imbalances, uterine polyps or fibroids, mild infections, or irritation from products like boric acid suppositories.

Can hormonal imbalances lead to irregular bleeding?

Yes, hormonal imbalances can lead to irregular bleeding or spotting. These imbalances can be influenced by stress, weight changes, or other factors, even if they are not immediately apparent.

Are there any risks associated with using boric acid suppositories?

While boric acid suppositories are generally safe for treating yeast infections, they can sometimes cause irritation or changes in vaginal discharge, which might contribute to spotting or bleeding.

When should I seek medical attention for post-menstrual bleeding?

You should seek medical attention if you experience heavy bleeding that requires more than one pad or tampon per hour, severe abdominal or pelvic pain, foul-smelling discharge, fever or chills, or dizziness or fainting.

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