[43F] Experiencing prolonged menstrual bleeding and fatigue

What might be happening

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

• Hormonal Imbalance: Stress and weight changes can affect your hormone levels, potentially leading to irregular or prolonged menstrual bleeding. Hormonal imbalances can also cause symptoms like fatigue and dizziness.

  • Treatment often involves lifestyle changes, stress management, and sometimes hormonal therapy prescribed by a healthcare provider.

• Uterine Fibroids: Since you've had a fibroid removed before, it's possible that new fibroids have developed. Fibroids can cause heavy menstrual bleeding, cramping, and frequent urination.

  • Treatment may include medication to manage symptoms or, in some cases, surgical options.

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

  • Treatment typically involves hormonal therapy and monitoring by a healthcare provider.

• Anemia: Prolonged heavy bleeding can lead to anemia, which might explain your fatigue, dizziness, and shortness of breath.

  • Treatment includes iron supplements and dietary changes to increase iron intake.

What you can do

While it's important to consult a healthcare provider 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 in your bleeding pattern. This information can be valuable for your healthcare provider.

2. Manage Stress: Engage in stress-reducing activities such as yoga, meditation, or deep breathing exercises. Managing stress can help regulate your menstrual cycle.

3. Monitor Your Diet: Ensure you're eating a balanced diet rich in iron and other essential nutrients. Foods like leafy greens, beans, and lean meats can help prevent anemia.

4. Stay Hydrated: Drink plenty of water to stay hydrated, especially if you're experiencing heavy bleeding.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Symptoms: If your bleeding becomes very heavy, or if you experience severe pain or dizziness.
• Signs of Anemia: Such as extreme fatigue, paleness, or shortness of breath.
• New or Unusual Symptoms: Any new symptoms that concern you or seem unrelated to your current condition.

Remember, it's important to consult with a healthcare provider to receive a proper diagnosis and treatment plan.