[53F] Experiencing pelvic heaviness and irregular bleeding

What might be happening

Based on the information you've provided, possible diagnoses include:

• Uterine Fibroids: These are noncancerous growths of the uterus that often appear during childbearing years. They can cause symptoms like a feeling of heaviness or fullness in the lower abdomen, frequent urination, and prolonged periods. The size of the fibroids can change throughout your menstrual cycle.

  • Treatment options depend on the size of the fibroids, your overall health, and your personal preferences. They can range from watchful waiting to medication or surgery.

• Ovarian Cysts: These are fluid-filled sacs or pockets in an ovary or on its surface. They are common and usually form during ovulation. Most ovarian cysts present little or no discomfort and are harmless.

  • Treatment can range from watchful waiting to medication or surgery, depending on the size and effect on the body.

• Perimenopause: This is the transition to menopause, the time when the ovaries stop releasing eggs. It can last for a few years and can cause symptoms like irregular periods and sleep problems.

  • Treatment often focuses on managing your symptoms and can include lifestyle changes or hormone therapy.

Please note that these are possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may order tests such as an ultrasound to get a better understanding of what's causing your symptoms.
2. Keep a symptom diary. Note when you feel pelvic heaviness and any changes in the lump. Also, track your menstrual cycle and any changes in bleeding.
3. Try to maintain a healthy lifestyle. Regular exercise, a balanced diet, and adequate sleep can help manage some perimenopausal symptoms.
4. Continue with your prescribed Lexapro and consult your healthcare provider if your anxiety or sleep problems persist.

What you should look out for

Contact your healthcare provider if you experience:

• Severe or sharp pelvic pain
• Changes in the size or feel of the lump
• Heavy vaginal bleeding or bleeding between periods
• Persistent difficulty sleeping or worsening anxiety

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.