Periods not stopping, light flow, cramping, losing weight, tests normal. Not pregnant. Taking Lamotrigine. Any advice

Posted on Sun, 8 Jul 2012 in Menstruation and Miscarriage
Question: Hi,
I'm 42 and my periods have been pretty regular in the past, but this last one hasn't completely stopped, and I'm going on 19 days. This has never happened before. The blood is mostly obvious after using the restroom, and isn't heavy enough to use tampons. I use pads, but they're not really needed either. The bleeding is pretty light, but definitely there, and I am having some cramping. I've been losing weight due to a stomach issue. The weight loss is actually a good thing since I'm overweight, but losing it due to pain kinda sucks. I think I dropped 15lbs or so this last month.. (Doctor's still don't know what is causing the stomach pain, even after a huge barrage of tests, including a colonoscapy and a gastroscopy.) I've been told by various friends that my extended period is due to the weight loss, and is nothing to panic over and to just take some extra iron, but now I'm not so sure. (Also, I haven't had sex in a couple months, and the stomach doctor just did a pregnancy test, so I know I'm not pregnant.) As a bonus, I'm horribly bi-polar, and take lamotrigine, provigil, bupropion, and quetiapine. I don't have decent health insurance right now, so going to the doctor is a luxury, and due to the stomach and psych issues I'm already in over my head financially. Any advice will be greatly appreciated.
Thank you. ~E.
Answered by Dr. Sree Gouri SR 1 hour later
Thanks for writing in.
Your symptoms can be due to the following conditions:
1.Perimenopausal phase: it is transition period between normal menstrual periods and menopause.
Normal age of perimenopause is around 47 but it can start earlier also. There will be hormonal fluctuation during this period which will lead to symptoms like irregular periods, heavy bleeding, insomnia, decreased libido, abdominal cramps, nausea, anxiety etc.
Stress, dietary modifications, exercise etc can also lead to perimenopausal symptoms.
For this, hormonal levels need to be tested. Depending upon the reports, appropriate treatment in terms of hormonal replacement can be given.
2. One more condition is metropathia hemorrhagica in which abnormal, continuous bleeding can be due to persistence and exaggeration of follicular phase which can also be seen in perimenopausal age. We would need to treat the cause here.
3. Fibroids, which can lead to extended periods and excessive bleeding. Treatment will be medical or surgical depending on symptoms and number of fibroids.
4. Drugs you are using for bipolar disorder also can lead to menstrual irregularities.
An ultrasound of the abdomen will put us in a much better position to comment on the possible causes of menstrual bleeding and weight loss. This would be rather required at this stage.

Hope this helps. I will be available for follow ups.
Take care.

Above answer was peer-reviewed by : Dr. Aparna Kohli
Answered by
Dr. Sree Gouri SR


Practicing since :2006

Answered : 5164 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

Recent questions on  Bipolar disorder

doctor1 MD

I recently started P90x (an intense workout program) and since I ve started I ve been peeing brown. I take lamitcal and risperdol for bipolar...

doctor1 MD

Sir, I am a Chartered Accountant from M.P. My wife Shraddha is patient of Bipolar Disorder. • 28 year old female • Known case of Bipolar disorder...

doctor1 MD

My mum,s been on dicorate drug for about three years. She has no history of seizures or bipolar disorder. I think it may have been given for...

doctor1 MD

I heard that if you have chronic stress , no hair loss product will work to restore or regrow hair until the stress is relieved, is this correct? I...

doctor1 MD

I asked questions of Dr. Olsi Taka ( neurologist ) on 20 November 2017. These are followup questions. I spoke about a violent impact when my then...

doctor1 MD

I have Bipolar Disorder I. I am a 50 year old attorney who qualified for disability (for bipolar) several years ago. I hope to return to work and I...

doctor1 MD

Sir I m taking 2.5mg clonazepam +10mg zolfresh+400mg quetiapin plain+Gabaneuron 600mg SR and I got sufficient sleep and no fatigue . So should I...

Get personalised answers from verified doctor in minutes across 80+ specialties

127 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction