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Period twice in one month
If a teenage girl gets her period twice in one month what
does that mean? is it even possible?
If one of the bleeding episodes is extra bleeding rather than a
menses. It may be due to ovulation. Also if something happens to
the corpus luteum gland on the ovary in the second half of the
cycle, this may induce extra bleeding. Usually if the extra
bleeding does not occur more than two months in a row, You don't
need to have it investigated.
Bleeding 5 weeks after delivery with pain
Five weeks ago I had my third baby. It was a normal vaginal
delivery with an episiotomy and no tears. My lochia turned
yellowish-white around 3 weeks postpartum. Around 4 weeks
postpartum I felt real tired. At 4.5 weeks I had a pain on my
left side and two day later I started to bleed a dark brownish-
pinky color, not bright red, and I'm still bleeding. I want to
know if this is normal or should I contact my physician?
This is not uncommon. As long as you do not have a fever and
as long as the bleeding is not greater than a normal menses, the
doctor will probably just have you wait to see what happens
further.
Or, could this mean I'm too active?
Probably not although sometimes strenuous activity can start
off some spotting.
Could it be my periods returning?
It probably is not a menses but it could represent your first
ovulation if you are not breast feeding.
Also, the same day I had that pain I had sex (not supposed
too, until check up). Could I have caused this by having sex?
Sexual relations can sometimes start up some bleeding
postpartum for the first one or two times. If it happened more
than that you might need to see the doctor for a checkup.
Now, my bleeding has changed it turned bright red with a few
small clots. Could there still be a piece of the placenta
left?
Could be but probably not. What tissue does come out sometime
later is the decidua which is the tissue between the lining of
the uterus and the placenta. It takes awhile to totally slough
out.
Continuous bleeding in spite of BC pill therapy
I'm a 38 year old female and I have bleed almost constantly
for past month. Originally, I went back on the "pill" because
periods and cramps were so debilitating and I have been on just
about every family of pill available but nothing is bringing me
back to "normal" This month, I have had my period all month
(lightly) and when the time came for my actual period, there was
very little change if any. My doctors say it is breakthrough
bleeding and that everything is normal.
Has it been only one month that there has been bleeding other
than at normal menstrual time or is it many months? We need to know
the full history on the bleeding.
It sounds as if the cramps have been going on quite awhile.
Have you asked to be referred to a gynecologist?
I've been bleeding for 5-6 weeks and the gynecologist says
to wait for three months to see if the pills straighten me out.
Anovulatory bleeding that is irregular often does take 3
months to straighten out on its own, but we don't wait 3 months
to treat if it is continuous bleeding. If this is really
continuous for 5-6 weeks you should get some hormonal treatment
to try to stop it, cause a withdrawal bleed and hopefully get it
straightened out. If a family doctor can't do that, insist on
seeing a gynecologist soon.
I have been seeing a gynecologist and have been taking birth
control pills for some time to straighten this thing out. I've
been told that I am exhausting the different families of pills
that I can take. Some of them cause me to blow up like a balloon
and this last one did not even stop the bleeding. I just kept
having my period all month long and the gynecologist said, "Let's
give it a total of three months."
You have had reasonable trials of hormonal therapy. It is now
time for a hysteroscopy and D&C to make sure there is no
mechanical cause of bleeding inside the uterus such as polyps or
fibroids.
Endometrial ablation for heavy 8 day menses
I'm 36, have two children ages 15 and 12. I am not having any
more children. My periods are very regular, but last over 8 days.
No bleeding between periods. The bleeding is so bad that I have
to stay at home for 2 days during my period. Another question. If
I do not have submucosal fibroids can an endometrial ablation
still work?
Yes, ablation is targeted at women with heavy menstrual blood
loss in the ABSENCE of organic pathology such as fibroids that
have failed other medical or surgical management and who no
longer wish to become pregnant. However, don't forget the numbers
about success. In large studies, after ablation 25-60% had no
subsequent periods, with most of the remainder having a decrease
in the amount of menstrual flow. About 10% fail to improve and
require another ablation or hysterectomy (about 2%).
Can prolonged menses be due to stress?
My period started on 10 days ago and it's still
here. I am also very depressed these days because of some family
problems. Can tension be a reason for this long time bleeding?
Tension and stress can affect ovulation which in turn affects
menses. Your current bleeding however, if it is due to stress, is
not due to the stress at this moment. Rather it is likely that the
bleeding now represents stress in the month before this period
started. The stress somehow causes a dysfunctional ovulation and
then the menstrual bleeding after that is what is disturbed.
One more question..I am having pain in the lower abdomen at the
left side. The pain is not severe but it is present there 24 hrs.
and my bleeding got heavier for the last two days.I am concerned
about the pain and heavy bleeding. Any comments?
When ovulation goes dysfunctional, there is often a follicular
cyst or corpus luteum cyst on the ovary that can produce pain. There
are other possibilities though such as infection, endometriosis,
etc, so it would be a good idea to be checked if this pain
persists.
Thanks! I am planning to see a doctor next week.
Light brown discharge 9-14 days into cycle
I'm 33 years old. I'm having a thin lightly-tinged brown
discharge from my vagina. It happens about 9-14 days into my
cycle. No pain or smell. I went to the gyn about 1 month ago and
my pap and everything were normal. Could this be normal ovulation
for me? Do you have any suggestions?
You can get ovulatory bleeding in the middle of the cycle and if
it is very light, it just comes out as brown tinged as you
describe. Usually it doesn't happen every month though.
Do you know that the Pap was normal or just that it was not
abnormal? The reason I ask is sometimes inflammation shows up on
the Pap but if you are not symptomatic with abnormal bleeding (in
this case you are), then physicians usually don't notify you that
the Pap shows this.
They said that the pap was "within normal limits." He told me not
to worry about the light brown if it didn't continue more than a
couple of days or if I didn't have pain. It doesn't happen every
month. Every 2 or 3 months maybe. Sometimes only a touch,
sometimes a little brown for a day or so.
That doesn't sound worrisome. If you start having bleeding more
often or bleeding after sexual relations then you should return
to see the doctor.
Endometrial ablation for bleeding and PMS
My doctor has recommended me to have endometrial ablation
procedure done for my heavy bleeding and blood clots but my
biggest concern is will this help my severe PMS. I have had all
the tests done and they are normal but my periods are getting
worse especially with the PMS and if this procedure does not help
that what else can I do, I do not want to make this decision and
it is not a right.
I don't know the answer to this. In one respect, all
the factors associated with PMS -- ovulation, progesterone, pelvic
blood vessel engorgement will still be present even though you
have the ablation. The fact that the cramps and flow will
decrease or be absent should play a role in decreasing some of
the PMS symptoms. Basically I'm not sure whether ablation will
decrease your PMS symptoms, but it is an out patient procedure
which would not put you out of work or activity for more than
3-7 days.
Will spotting with straining interfere with conception?
It is time for my ovulation and I am trying to get pregnant,
but I sometimes have a single, light spot of blood whenever I use
the bathroom (a little heavier with a bowel movement) and usually
only after straining. For most of the month it is normal for me
and I never paid it much attention until now. Will it interfere
with me conceiving?
No. The spotting should not interfere with conception.
Recent period 1 week early then another 2 weeks later
I am 32 with a 2 year old child. I have not been on any
contraceptives for 5 months now and my period is every 30 days.
The most recent period was only 21 days (1 week early) and two
weeks later, I got what seems like another period. Before It
seemed like a period, I called the doctor who ordered a pregnancy
test which came out negative. Now I am puzzled. Any Thoughts?
Sometimes ovulation or menses gets out of synch for a cycle or
two and we never know why. It can be due to medications, colds,
things eaten, stress, etc. Usually the rule of thumb is that if
the abnormal bleeding persists 3 cycles in a row, you need to see
the doctor because it may not get better on its own. Your doctor
ordered a pregnancy test because you are not on contraception and
having bleeding could indicate an ectopic pregnancy or early
miscarriage. With those ruled out by the negative test, it is
generally safe to wait and see if the bleeding cyclicity will
straighten out on its own.
Thanks for taking the time to answer my question. Since I
have always had quite regular periods even prior to having a
child I was a wreck for several days. Hopefully it was a one time
thing....It is bad enough to have just one period a month!
Bleeding after intercourse and anovulatory problems
My question is, after intercourse I have spotting for about a
day maybe two. This is a very recent thing, is it normal?
I do have a little background. I am 30 years old, and at age
18 my general practitioner put me on BC pills to cure abnormal
bleeding. I stayed on the pill for 7 years until I had blood
pressure problems. After being taken off my real problems began.
I had no periods for 8 mos. then it was pill induced by
ProveraŽ
for 2 mos. then I had a period that would last 30 days or more.
After many tests my general practitioner sent me to an OB-GYN
specialist. He continued the ProveraŽ, did a hysterosalpingogram an
found a blocked tube. Knowing that I wanted to start a family he
began fertility treatment. After months of ProveraŽ, ClomidŽ, and
frustration I stopped all the madness and said forget it. My
periods regulated to three weeks of bleeding and a period every
two to three months for about three years.Then I had a heavy
bleed that lasted 45 days so bad that I couldn't even get out of
bed and became pale and hypovolemic. My Dr. sent me to a new
OB-GYN. He explained what he thought was happening and again gave
me ProveraŽ, but this time it did not work. He proceeded with
LupronŽ shots and that did the trick. But my bleeding remained
very heavy and lasted weeks for each period. He has done much
blood work, many ultrasounds and another hysterosalpingogram to
find both tubes unblocked. Again I had a round of bleeding that
was just horrid and unstoppable. Because it was right before our
vacation I was put on 10 days of ProveraŽ followed by 5 days of
ClomidŽ. In the middle of my vacation I had very painful mid cycle
bleeding that brought me home and put me in the ER only days
after stopping the ClomidŽ. They did an ultrasound and said that
there was not much they could do to stop the bleeding, only the
pain. That was about 8 weeks ago. the bleeding stopped a few days
later, and now I have only had spotting after intercourse and
nothing else. I feel like I am always calling the doctors office,
but I know that this isn't normal. I feel like I am going crazy.
I don't know if I should call with every little problem, or wait
everything out. I have been without a period for 8 weeks now and
I feel funny about calling since I was so anxious to get the
bleeding to stop last time I called him. Not knowing where I am
in my cycle makes it impossible to even calculate ovulation.
The bleeding (spotting) after intercourse is probably due to
either direct irritation of the cervix or from starting up
endometrial bleeding that is due to your basic problem of
anovulation. Since you have had many blood studies done, your
doctors must have some idea of what type of anovulation you have,
i.e., hypothalamic amenorrhea, polycystic ovarian disease,
hyperprolactinemia, etc. ClomidŽ may be used to induce ovulation
in any of those so that is not helpful.
One of the main problems now it seems, is that the therapy is
focusing on two goals, regulating the bleeding and inducing
ovulation so as to get pregnant, that usually require almost the
opposite therapy. One solution might be to just focus on the
abnormal bleeding and get that straightened out, and then resume
the fertility induction.
With so much abnormal bleeding, it is not safe to assume it
only is dysfunctional, anovulatory bleeding even though you are
young. Mechanical causes (polyps, fibroids) need to be ruled out
with a hysteroscopy and D&C if that hasn't already been done.
Also bleeding due to other unusual diseases such as coagulation
problems (Von Willebrand's disease), thyroid problems (I'm sure
this has already been checked), other medical diseases and
medications need to be ruled out. When all of these have been
done, the next step might be to regulate your periods with
something like Premphase which is used in the
perimenopausal/postmenopausal period to regulate bleeding and
still produce a monthly menses.
Presuming the Premphase would regulate you so that there was
no more abnormal bleeding for about 3 or 4 months, then you might
consider retrying the ClomidŽ therapy to induce ovulation or
whatever your doctor feels is needed.
At this point I would suggest making another visit to your
doctor to discuss the bleeding after intercourse and let him
examine you to make sure there are not local cervical factors,
irritation etc., causing the bleeding. Then discuss the above
plan as you and he think it applies. Agree on any plan or
modification of the above so that you can have a systematic
approach to getting over all of these problems. He will probably
benefit from some regrouping in plan as much as you will.
Can heavy bleeding wash out sperm or prevent implantation?
I posted before about bleeding after a bowel movement and
conceiving. I am now 3 days post ovulation and today after a
bowel movement I began bleeding heavily with blobs of blood and
cramping. It lasted about 3-4 hours and is now subsiding, but I'm
still worried if it will affect conceiving. Am I just worrying
too much?
If you are bleeding heavily such that it can "wash" sperm out
of the cervix, then it will decrease the chance of getting
pregnant. If it's just spotting, it shouldn't affect it.
Since I was 3 days after ovulation when the bleeding started,
if I conceive this month, then conception had already happened
before the bleeding started. So I guess what I'm really worried
about is if the fertilized egg will be able to attach itself if I
am steadily bleeding. As of today the bleeding has slowed but not
stopped.
Implantation occurs about day 5-7 after fertilization. It
implants in the uterus usually in the top or top-back on a very
small area. I see why you are worried about the bleeding. If it
continues heavy it could prevent implantation. It's still very
possible, however, so just wait it out to see what happens.
47 y.o. with heavy clotting and pain each month (adenomyosis)
I am 47 years, and have had two children. I have always had
pretty normal periods, although I was on the pill for 20 years. I
have not been on the pill for about 6 years. Pap smears are
normal.
For the last couple years, I have had really bad periods at
least every third month. Then, last year, I started having heavy
clotting, and pain every month. I went to a clinic and they said
maybe I had endometriosis or cysts, or tumors...nothing
specific....referred me to my ob/gyn. I never went, but it is
really bad now.
Your age and with the above history, the most likely cause
would be adenomyosis of the uterus. This is endometriosis interna
or endometrial glands that go down into the muscle of the uterus.
At the time of menses the endometrial tissue in those pockets
cannot get out of the muscle and it gives pain. Unfortunately,
adenomyosis is a diagnosis of exclusion. Other causes of the
heavy bleeding and pain need to be ruled out.
Your gyn doctor would probably recommend a vaginal ultrasound
( to rule out uterine fibroids or any ovarian cysts) with a
saline sonohysterogram (injection of fluid into the endometrial
cavity at time of ultrasound to detect any endometrial polyps or
submucous fibroids). If these are all normal, you could very
strongly suspect adenomyosis as the main cause of your problems.
Medical treatment for this at your age would be low dose birth
control pills (if you are a non smoker) or Depoprovera injections
to block your ovulation and menses until you become menopausal.
If any of the above studies suggest there is a mechanical
cause of the bleeding or pain (polyps, fibroids, ovarian cysts)
you will probably be recommended to have a D&C and hysteroscopy
and possibly a diagnostic laparoscopy as outpatient surgery
procedures.
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