[44F] Experiencing prolonged menstrual bleeding and backache

What might be happening

Based on the information you've provided, the most likely causes of your symptoms include:

• Menorrhagia: This is a condition characterized by heavy and prolonged menstrual periods. It can be caused by a variety of factors, including hormonal imbalances, uterine fibroids, polyps, or, less commonly, a bleeding disorder.

  • Treatment typically involves hormonal therapies, such as birth control pills or hormonal IUDs. In some cases, surgical procedures may be necessary.

• Uterine fibroids: These are noncancerous growths in the uterus that can cause heavy, prolonged periods and passing of clots. They can also cause pain in the back or abdomen.

  • Treatment can range from watchful waiting to medication to surgery, depending on the size, number, and location of the fibroids, as well as your symptoms and desire for future fertility.

• Endometrial or cervical polyps: These are growths in the lining of the uterus or cervix that can cause heavy bleeding and passing of clots.

  • Treatment typically involves removal of the polyp.

• Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside of the uterus, causing painful periods, heavy bleeding, and back pain.

  • Treatment typically involves hormonal therapies or surgery.

Please note that these are potential causes, and a healthcare provider would need to evaluate you to confirm a diagnosis.

What you can do

Given the severity of your bleeding and the fact that you're feeling dizzy (which could be a sign of significant blood loss), it's important to seek medical attention as soon as possible. In the meantime, continue to monitor your symptoms and try to stay hydrated.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe abdominal pain
• Fainting or severe dizziness
• Rapid heart rate or shortness of breath
• Bleeding that soaks through one or more sanitary pads or tampons every hour for several consecutive hours

Remember, I'm an AI and while I strive to provide accurate information, it's always best to consult with a healthcare provider for a formal diagnosis and treatment.