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Intermittent bleeding due to hormonal fluctuations - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2378 Questions
Doctor :   hello
Doctor :  
how can i help u?
User :   I am facing issue in determining ovaluation time
User :   my periods are very abnormal now a days
Doctor :  
ok
User :   preveously it was 26 to 28 dyas now from last 2 month its happening in 10 days
Doctor :  
ok
User :   please tel me what could be the problem
Doctor :   according ur chat history u are 21 years female married
Doctor :  
and u are cycles are short?
User :   yes. and most imporatnt is i have only 30 min paid time
User :   yes
Doctor :  
ok
Doctor :  
how often u are getting periods?
Doctor :  
and from how many days u are having this problem?
User :   its happening in very short time
Doctor :   ok

User :   see from last 2 month this problem is happening more
Doctor :   ok
User :   preveously it was ok
Doctor :  
are u having any pain while menstruation?
User :   yes. lower back pain very much while 1st two days
User :   then it become ok
Doctor :  
ok
Doctor :  
how often u are getting bleeding?
Doctor :   is it associated with bad smell?
User :   yes. initially 1st two days
User :   little bad
Doctor :  
ok
Doctor :  
do u have itching of vagina?
User :   no
Doctor :  
There can be a number of causes for bleeding between periods. The average length for periods is 5-7 days. The average length of period cycle is 21-52 days. If the periods occur before that period then it is termed as recurring periods and are a cause of concern.
Doctor :   are u on contraceptive pills?
User :   no. never
Doctor :  
ok
Doctor :  
i will give u the details of most important causes
Doctor :  
Hormonal fluctuations
- Contraceptives
- Low Thyroid levels
- Stress
- Vaginal injury
- Malignant cancer
- Vaginal infection
- A cyst
Doctor :   as u are tellin that it is associated with bad smell it may be due to INFECTION
User :   ok. yes. normaly before period start at night it started smelling very bad
Doctor :   ok

Doctor :  
did u have any IUD inserted'?
User :   means?
Doctor :  
copper t ?
User :   no. never.
Doctor :   ok
Doctor :   first we should rule out infection,
User :   my husband used to withdraw prevously. new we want baby so he is releasing inside
Doctor :   ok
Doctor :  
there is no relationship between that and bleeding
User :   ok
User :   and we never used condom or any oill
Doctor :  
if there is no infection then u should go for ultrasonogrophy to rule out any problem in ur uterus/ovary....
Doctor :  
ok
Doctor :  
if even they are fine then u should go for harmonal analysis like oestrogen,progesterone.....
Doctor :  
SOME TIMES THERE WILL BE HARMONAL imbalance which will lead to bleeding
User :   ok.
User :   see i am very scared
User :   we need a baby now
Doctor :  
dont get scared
Doctor :  
relax
Doctor :  
nothing to worry..most probably it will be infection
Doctor :  
once we know what infection then u can take medication after that u will have kid
User :   ok. after sex his semen comes out of my vegina some time
Doctor :  
then he is not inserting properly...
User :   is that any consern , but he did semen analysis it was ok
User :   how much erection required to get a baby
Doctor :  
semen analysis is nothing to do with it
User :   some time his oenis become little soft
Doctor :  
there is no measure for erection once he is in full mood his pennis will be in maximum erection
Doctor :  
after ejaculation of sperms into vagina automatically pennis will become soft...
User :   ok. sometime he become tired. and i force him. i then he does after long try
User :   and some sperm comes out
User :   i use pillow
User :   from last month
Doctor :   girls are mostly passive in sex but most of the time guys are active..so they will be tired very soon and guys will reach cliimax once they ejaculate but it is not the same with girls ...
Doctor :  
pillow??
Doctor :  
for what?
User :   yes just to make sperm inside
User :   so it will not come out
Doctor :  
ok
Doctor :   u ask ur husband is there any problem in inserting ?is there any obstruction while inserting?
Doctor :  
normally if he is inserting properly semen will not come outside
User :   ok.
Doctor :   regarding ur menstrual irregularity
Doctor :  
first u rule out is there any infection
Doctor :  
do u have any white coulour discharge?
User :   no
Doctor :   ok
User :   see yesterday one doctor told me to do some tests. ia m just confirming you
User :   Doctor: 1. Complete blood count
Doctor: 2. Thyroid profile test
Doctor: 3. Sex hormone profile
Doctor: FSH, LH, estriol, levels
Doctor :  
ok
User :   so which one should i do 1st?
User :   or all
Doctor :   its better u do all of them but most important is sex harmone levels
Doctor :   FSH,LH,ESTROGEN,PROGESTERONE
User :   ok thanks doctor
Doctor :  
welcome
Doctor :   pls fill the feedback form
User :   so i will try to meet a local gynocoligist and also test all that what you mentioned
User :   bye
Doctor :  
hacve u filled the form?
User :   yes
Doctor :   thanks
Doctor :  
bye good night
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Diseases and Conditions
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