[45F] Experiencing heavy prolonged menstrual bleeding with severe cramps

Patient Description

A 45-year-old female reports experiencing heavy and prolonged menstrual bleeding for the past 9 days, which is heavier and longer than her usual cycle. She also experiences severe cramps, a dull lower back ache that worsens when standing from a sitting or lying position, and a fluttering sensation in the lower abdomen. Additional symptoms include pelvic pain and increased urinary frequency, though there is no pain during urination. There have been no recent changes in appetite, weight, or unusual vaginal discharge. The patient denies fatigue, dizziness, recent stress, medication changes, or significant weight changes. There is a family history of gynecological conditions, but the patient has not been diagnosed with any herself. She is not currently taking any hormonal medications or birth control.

Show More

Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Uterine Fibroids: These are noncancerous growths in the uterus that can cause heavy menstrual bleeding, prolonged periods, pelvic pain, and increased urinary frequency. They are more common in women with a family history of fibroids.

    • Treatment: Options include medications to regulate your menstrual cycle, non-invasive procedures, or surgery, depending on the severity.

  • Hormonal Imbalance: Changes in hormone levels can lead to heavier and longer periods, as well as pelvic pain and backache.

    • Treatment: Hormonal therapies, such as birth control pills, can help regulate your cycle.

  • Endometriosis: This condition involves tissue similar to the lining inside the uterus growing outside it, causing pain and heavy periods.

    • Treatment: Pain relief, hormonal treatments, and sometimes surgery are used to manage symptoms.

What you can do

  • Consult a Healthcare Provider: It's important to see a doctor for a proper diagnosis and treatment plan.
  • Track Your Symptoms: Use MDandMe to journal your symptoms, track your menstrual cycle, and note any changes. This information can be valuable for your healthcare provider.
  • Manage Pain: Over-the-counter pain relievers like ibuprofen can help alleviate cramps and back pain.
  • Stay Hydrated: Drink plenty of water, especially if you're experiencing heavy bleeding.

What you should look out for

  • Seek Immediate Care If: You experience severe pain, dizziness, or fainting, or if you soak through a pad or tampon every hour for several hours.
  • Monitor Symptoms: If your symptoms worsen or new symptoms develop, contact your healthcare provider.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.

Show More

1
 Hugs
0
 Comments

Save

2 mo ago

People Also Ask

What are uterine fibroids and how do they affect menstrual cycles?

Uterine fibroids are noncancerous growths in the uterus that can cause heavy menstrual bleeding, prolonged periods, pelvic pain, and increased urinary frequency. They are more common in women with a family history of fibroids.

How can hormonal imbalances lead to changes in menstrual bleeding?

Hormonal imbalances can lead to changes in menstrual bleeding by affecting the regulation of the menstrual cycle. This can result in heavier and longer periods, as well as associated symptoms like pelvic pain and backache.

What is endometriosis and what are its common symptoms?

Endometriosis is a condition where tissue similar to the lining inside the uterus grows outside it, causing pain, heavy periods, and sometimes fertility issues. Common symptoms include severe menstrual cramps, chronic pelvic pain, and pain during intercourse.

When should someone seek immediate medical attention for heavy menstrual bleeding?

Immediate medical attention should be sought if someone experiences severe pain, dizziness, fainting, or if they soak through a pad or tampon every hour for several hours, as these could be signs of a serious condition.

Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback