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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Inter Menstrual Bleeding And Severe Fatigue?

For the last 2 months (approximately) I ve had the following: - intermittent bleeding between periods (Not spotting. Occurring every few days & lasting anywhere between 20m & 6h. Is sometimes watery, othertimes more period like & heavy. Have never had this issue before.) - light bleeding after sex - excessive tiredness / fatigue - abdominal pain (like really bad cramps) - constantly feeling full even when i haven t eaten - needing to pee way to often - feeling faint or lightheaded, especially in the morning - headaches at night - pain in the entrance to the vagina (this started 2 days ago. It is a constant stinging or burning feeling with a pain of 3/10 & every 10-20 minutes i get stabbing pains in the same area with a pain of 6/10) I ve been on the same contraceptive pill for years & have never had an issue with it. I ve been with my current boyfriend for about 9 months & did a std test before we got together, as well as 3 & 6 months after we first slept together (just to be safe) so i dont think it s anything like that. I eat well & drink lots of water as well. I first went to the dr almost 2 months ago when it first started, they suggested I wait a week or two to see if the issues were ongoing or not & it continued so i went back & the dr did a pap smear & said there was an abnormal result (was not specific as to what the abnormality was or what grade & didn t seem even slightly concerned. The dr then recommended an ultrasound (internal & external), the results came back & the radiologist couldn t find anything unusual. The dr has now recommended i see a specialist at the private hospital & is arranging a referal but said it could be weeks or even months before i actually see someone. Where i live there are no other specialists & all the gynecologists are at the private hospital where you need a referral to see them. These are the only tests / scans that have been performed. The doctor doesn t seem to have any idea what it could be or what other tests to do & has no real suggestions whatsoever other than see how it goes & to see the specialist (again this could be months). This is really starting to effect my personal, work & quality of life. Do you have any idea what this could be? What to suggest? Where to go from here? Anything at all would be greatly helpful & appreciated.
Fri, 13 Jul 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Based on your description, it seems that you could be having cervical/uterine polyp. Fatigue what you are complaining of could be related to the bleeding, which could have caused anemic due to blood loss. It can be taken care by consuming iron rich foods and iron supplements orally. You need to get examined clinically by consulting Gynecologist. You may also need an ultrasound scan of pelvic region to confirm the diagnosis.

Regards,
Dr.Ashakiran.S.
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What Causes Inter Menstrual Bleeding And Severe Fatigue?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Based on your description, it seems that you could be having cervical/uterine polyp. Fatigue what you are complaining of could be related to the bleeding, which could have caused anemic due to blood loss. It can be taken care by consuming iron rich foods and iron supplements orally. You need to get examined clinically by consulting Gynecologist. You may also need an ultrasound scan of pelvic region to confirm the diagnosis. Regards, Dr.Ashakiran.S.