Hallow Dear,

I have gone through your question and have understood your problem.

I would have appreciated if you had provided your age, height, weight and the marital history for having clearer idea of the diagnosis.

However, from the history you have provided, I feel, you could be having Polycystic Ovarian Syndrome. This has lead to your irregular menses. As the interval between the two periods goes on increasing, the amount of bleeding increases. Passing clots is quite an amount of bleeding. Volume wise, the amount of bleeding is three times that of the size of clot. So you can evaluate and estimate how much you are bleeding.

You have to report to your Gynaecologist, get your diagnosis done and treated accordingly. May be you will have to undergo certain investigations which could be non-invasive like urine examination, blood examination for Haemoglobin and the cellular count, hormonal levels like FSH, LH, Oestrogen, Progesterone, Prolactin, etc., ultrasonography, and invasive like Laparoscopy, hysteroscopy, etc. Please get them done.

The feeling of heaviness in the lower abdomen could be due to:
1. Infection of the urinary bladder due to anaemia
2. Passage of clots
3. Any ovarian cyst or tumour.

Mostly you will have to be put initially on Progesterone hormone to control the bleeding. Along with, depending upon the diagnosis, your further management will be planned.

Please do not write off your symptoms labelling as 'I am normally late on my periods'. Please report to your Gynaecologist without any further delay.

You may ask me any further information by asking me direct question.

Hello, and I hope I can help you today.

If you do not menstruate more than a few times per year, and you are not in menopause, the tissue in your uterus can buildup continuously for the entire time that you've missed your menstrual period.

So when you finally do get your period, it literally will be like having all the periods you have missed added up together at one time. Is not unusual to bleed extremely heavily and have severe cramps. If during this time, you are changing more than one pad per hour, and you continue see heavy blood clots from more than 24 hours, you should make an urgent appointment with a gynecologist or possibly even go to the emergency room, as you can lose so much blood during these times that it can make you severely anemic. Some women even lose so much blood that they require blood transfusion.

Depending on your age, missing your menstrual cycle for so many months can also increase your lifetime risk for developing uterine cancer.

In summary, for right now, your symptoms are not unusual for woman who has missed many menstrual cycles and then finally gets one after a very long time. However, this situation is not ideal because of the potential amount of blood that you may lose, and the additional risk of potential development of uterine cancer.

I really do recommend an evaluation by gynecologist, who can check your hormone levels, do an ultrasound to make sure that there are no uterine problems that could be contributing to the bleeding, make sure you are not anemic, and suggest a proper treatment regimen for you.

If during this time you develop severe abdominal pain associated with nausea or vomiting, any shortness of breath or chest pain, or feeling dizzy when you stand up and like you might pass out, you really should go to an emergency room for urgent evaluation.

I hope I was able to adequately answer your question today, and that my advice was helpful. I hope you see a local gynecologist for proper diagnosis and treatment.

Best wishes,

Dr. Brown