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What causes black menstrual bleeding? - Online Doctor Chats

Date : 16-Nov-2014
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
Doctor:Hi
Doctor:Please proceed with your query.
User:I am a women of 28 yrs of age.
Doctor:Ok
User:I got married at the age of 24 but not attempted any child till date willfully with understanding with my husband.
Doctor:Ok
User:I have not taken any medicinal precautionary measures till date except with good understanding with him.
Doctor:Ok
User:But now my blood flow during mensuration is not very clear from last 1 year.
Doctor:OK
User:Also earlier I had flow for full five days. But now this ends within three days.
Doctor:OK
User:Also the colour of blood flow is abit blackish as compared to earlier.
User:please help
Doctor:Ok
User:sorry my name is XXXX
Doctor:I would like to know few more details before advising you
User:this is my husbands ID
Doctor:May I know your weight and height?
Doctor:No problem
User:Weight - 64 kgs & Height - 5ft.
Doctor:Ok
Doctor:As you where not using any contraceptive methods where you following any other methods like related to day of menstrual cycles?
User:no. Absolutly not.
Doctor:Ok
User:When the date for mensuration approaches I feel like the flow will start but somewhere it gets stuck.
Doctor:Ok
Doctor:Are your menstrual cycles regular?
User:Yes.
User:Is on date.
Doctor:Ok
User:I mean on every 28 days.
Doctor:Ok
Doctor:Have you seen a doctor for this?
User:Once I tasted for hemoglobin level. It came out 8 point.
Doctor:Ok
User:Not Specifically to Gynecology but to general doctor.
Doctor:Ok
Doctor:what was the general doctors advise?
User:He laughed and said its due to low hemoglobin level of mine and gave iron and vitamin tabs.
Doctor:OK
Doctor:Thanks for the details.
User:my pleasure.ls advice.............
Doctor:I understand that you have normal flow before and since a year you have reduced flow and the colour of the blood too is brownish in colour
User:absolutly
Doctor:And you always have a feeling that the blood is getting obstructed during the flow
User:yes....
User:there is also some mild pain on the first day
Doctor:There are two possibilities here, that the brownish blood could be due to obstruction as you feel and the most common cause is imperforate hymen.
Doctor:Ok
Doctor:As you are married and have normal sexual life so I doubt this
Doctor:The other possibility would be old tissue is flowing down everytime you have cycles and the fresh tissue is piling up in the uterus
Doctor:This will cause increased thickness of the lining of the uterus.
Doctor:This usually happens due to hormonal imbalance
Doctor:It could be due to stress, ovarian disorders or uterine disorders.
Doctor:I suggest you to get an Ultrasound of the abdomen to view the uterus and its linings.
User:Is there anything to be worried off? because I donot understand much medical terms
User:ok...
Doctor:There is no need to worry. But treatment would be required.
User:USG for whole abdomen?
Doctor:Yes. Get the USG of abdomen and see a gynecologist
User:Is the problem is major?
Doctor:The gynecologist will also examine you to rule out any other causes.
User:ok...
User:that's so kind of you...
User:any other advice?
Doctor:Depending on the cause, the doctor will prescribe you hormonal pills or if required will perform dilatation and curretage.
Doctor:Take Iron and folic acid pills regularly as your HB is low.
Doctor:Have diet rich in iron
Doctor:and follow regular physical exercises and healthy habits.
User:sure...
Doctor:Is there anything else I can help you with?
User:no doc. thanks a lot...bye
Doctor:Thanks for visiting me here. Bye for now.
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