[45F] With prolonged vaginal bleeding and fatigue

Patient Description

A 45-year-old female has been experiencing heavy vaginal bleeding daily for the past three months, significantly affecting her daily activities and quality of life. She reports accompanying fatigue that worsens with daily activities. Her menstrual cycles were previously regular, with five-day durations, before the onset of this episode. She has not experienced similar bleeding episodes in the past and reports no changes in her menstrual cycle or hormone levels prior to this. Recently, she was diagnosed with a complex hemorrhagic cyst on her right ovary, measuring 3.7 x 3.3 x 3.4 cm, as confirmed by a transvaginal pelvic ultrasound. The ultrasound also noted a normal-sized uterus and left ovary, with no free fluid observed. The patient is not currently taking any medications and has no known allergies or other chronic conditions.

Arora's Assessment

What might be happening

Based on your symptoms and the ultrasound findings, here are some possible explanations:

Ovarian Cyst: The complex hemorrhagic cyst on your right ovary could be contributing to the heavy bleeding and fatigue. Ovarian cysts can cause irregular bleeding and discomfort. Treatment may involve monitoring the cyst, hormonal therapy, or surgery if necessary.
Hormonal Imbalance: Although you haven't noticed changes in your menstrual cycle, hormonal imbalances can sometimes cause prolonged bleeding. Blood tests can help determine if this is a factor.
Uterine Conditions: Conditions like fibroids or polyps, although not seen in your ultrasound, can also cause heavy bleeding. Further evaluation might be needed to rule these out.

What you can do

Consult a Gynecologist: It's important to follow up with a healthcare provider to discuss your symptoms and the ultrasound results. They can recommend further tests or treatments.
Track Your Symptoms: Use MDandMe to journal your symptoms, track your bleeding patterns, and note any changes. This information can be valuable for your healthcare provider.
Manage Fatigue: Ensure you get adequate rest, maintain a balanced diet, and stay hydrated. Consider gentle exercise if possible, as it can help improve energy levels.

What you should look out for

Seek Immediate Care If: You experience severe pain, dizziness, or fainting, as these could indicate complications.
Monitor Symptoms: If the bleeding worsens or you develop new symptoms, contact your healthcare provider.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

1

Hugs

0

Comments

Save

1 mo ago

Top picked over-the-counter products for Dysmenorrhea