What Causes Abnormal Menstrual Bleeding?
Needs investigations.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
I can think of the following reasons for your abnormal menstrual bleeding -
1. Weight gain or loss.
2. Stress , anxiety, tension on the personal or professional front, late nights, erratic eating habits - do any of these apply ? They are all known causative factors.
3. Hormonal disbalance or a cervical lesion.
4. Caffeine too is implicated.
5. If you have been sexually active, do take a pregnancy test, to rule out an ongoing pregnancy, an ongoing miscarriage, or ectopic pregnancy.
6. A new sexual partner / unprotected sex would not generally lead to heavy bleeding afterwards.
7. Thyroid hormone abnormalities, a cervical or uterine polyp, lesions or erosions on the cervix, uterine fibroids, endometrial hyperplasia, polycystic ovarian syndrome - these are all some conditions associated with irregular cycles and sporadic bleeding.
If the bleeding does not subside in a couple of days / it recurs again next month, I would request you to have a gynaecological consultation.
You should have -
1. Internal check up - per vaginum and per speculum
2. Pelvic ultrasound scan
3 . Hormonal levels - FSH, LH, TSH, Prolactin, OGTT, free testosterone, DHEAS, lipid profile.
4. A bleeding and clotting profile to rule out bleeding tendencies.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal