[45F] Experiencing post-menstrual bleeding and pelvic pain

What might be happening

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

• Hormonal Imbalance: Irregular periods and unexpected bleeding can often be attributed to hormonal imbalances. This can be due to stress, changes in weight, or other factors that affect your hormone levels.

  • Treatment: Hormonal imbalances are often managed with lifestyle changes, such as stress reduction, diet, and exercise. In some cases, hormonal therapy may be recommended by a healthcare provider.

• Perimenopause: At 45 years old, you could be experiencing perimenopause, the transition period before menopause. This can cause irregular periods, spotting, and changes in menstrual flow.

  • Treatment: Management of perimenopause symptoms can include lifestyle changes, hormone replacement therapy, and other medications as prescribed by a healthcare provider.

• Uterine Fibroids or Polyps: These are non-cancerous growths in the uterus that can cause irregular bleeding and pelvic pain.

  • Treatment: Treatment options can range from watchful waiting to medications or surgical procedures, depending on the size and symptoms caused by the fibroids or polyps.

• Endometrial Hyperplasia: This is a condition where the lining of the uterus becomes too thick, often due to hormonal imbalances, and can cause irregular bleeding.

  • Treatment: Treatment may include hormonal therapy or, in some cases, surgical intervention.

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. This information can be very helpful for your healthcare provider.
2. Manage Stress: Practice stress-reducing activities such as yoga, meditation, or deep-breathing exercises.
3. Maintain a Healthy Lifestyle: Ensure you are eating a balanced diet, getting regular exercise, and maintaining a healthy weight.
4. Stay Hydrated: Drink plenty of water to help your body function optimally.
5. Avoid Self-Medication: Do not start or stop any medications without consulting a healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Heavy bleeding that soaks through one or more sanitary pads or tampons every hour for several hours
• Severe pelvic pain or discomfort
• Dizziness or fainting
• Fever or chills
• Any new or worsening symptoms

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.