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Suggest Treatment For Irregular Menstrual Bleeding Along With Abdominal Pain, Fatigue, Nausea And Vaginal Itching

Posted on Mon, 29 Apr 2024

Question: Hi I am a 26 year old female and I have been off of birth control for 3 years. In the month of March I had 3 periods, my first period of March was from March 1st to March 3rd, my periods have never been 3 days. The second one was March 17th to March 21st, 5 to 6 day is normal for me to be on my period. The third was March 25th to March 29th and I had unbearable lower abdominal pain, passing clots, fatigue, nausea and some episodes of emesis. I went to the ER and was told that I may have DUB and that it would only happen once in my life, but when ?I period the following month in April, days after I started bleeding again. Also, after the bleeding stopped in March, I started to have vaginal itching, but no discharge. When I went to the ER, I was not given anything only told to take motrin for the cramps.

Answered by Dr. Deepti Verma (8 minutes later)

Brief Answer:
Various causes can be there

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.

Irregular bleeding can be due to the hormonal disturbance like dysfunction uterine bleeding, hypothyroidism, or in case of endometrial hyperplasia or fibroid in the uterus.

An ultrasound is advised to rule out any fibroid or endometrial pathology and thyroid function test should be done.

If these are normal, then it is most likely dysfunctional uterine bleeding.

Hope you found the answer helpful. Let me know if I can assist you further.

Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Deepti Verma (24 minutes later)

Hi Dr. XXXXXXX XXXXXXX

When I went to the ER, they did an ultrasound, transvaginal ultrasound and blood tests on me and everything came back normal. Your answer was very helpful and I greatly appreciate it, just trying to figure out what is happening.

Answered by Dr. Deepti Verma (16 hours later)

Brief Answer:
Happy to help

Detailed Answer:
Hi dear,
I am happy to have helped you.
If everything was normal, then there is nothing to worry.
Hormonal treatment will be prescribed to you if the symptoms increase.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Vaishalee Punj