Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

137 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Started getting acne and irregular menstrual bleeding with clots. Could it be stress related?

Answered by
Dr. Aarti Abraham


Practicing since :1998

Answered : 6011 Questions

Posted on Thu, 14 Feb 2013 in Women's Health
Question: hi i am a healthy 33 year old female. i have noticed a few changes around my period as ive gotten older. the first is recently i have had hormonal ance which hasnt been a problem for a long time. the other is that one month my period will come early the next it will come late. ive also noticed i get pms where i cry and am very tense lately which i havent really suffered in a long time. ive also noticed i used to get my period for four days now i get it for two days and also ive notived i pass large blood clots. it is not possible im pregnant and ive been under stress lately just wondering if it all could be stress or something else?
Answered by Dr. Aarti Abraham 4 hours later
Thanks for writing to us, and trusting us with your health query.

Basically to enumerate your problems, you have
1. Acne
2. Bad premenstrual syndrome ( PMS )
3. Irregular periods
4. Irregular menstrual bleeding with clots

The common underlying factor, which explains all these occurences, is Hormonal imbalance.
As you correctly surmised, as a woman ages, the basic female hormones, estrogen and progesterone , gradually lose their fine balance, and if grossly imbalanced, they cause problems such as the ones you are facing.

The causes of such hormonal changes are obviously age related, but they are aggravated by a number of causes.

First, and maybe the most striking cause, is stress. Any kind of emotional or mental or physical stress, emotional upheavals, worry, anxiety or weight fluctuations directly affect the hormonal glands and their delicate counterbalance. Stress is a key reason for experiencing mood swings and PMS, for acne also, for irregular cycles. I would strongly advise you to invest in relaxation techniques like XXXXXXX breathing exercises, yoga, walking etc. Also please ensure a healthy, nutritious diet XXXXXXX in antioxidants and calcium and at regular timings. Please get yourself investigated for calcium and vitamin D deficiency, as it is a key factor for stress and PMS both. Take the supplements if you are found deficient.

That said and done, it is wise to list certain other causes of these conditions, as you should rule them out before assuming that stress is the cause .

Thyroid or adrenal hormone fluctuations also cause the symptom cluster that you have described. Get these tested also.

Polycystic ovarian disease is notorious for hormonal imbalance, acne, irregular cycles etc. For this, you need a check up by a gynecologist, a transvaginal scan and detailed laboratory testing.

Other uterine pathologies like adenomyosis, uterine fibroids, endometriosis, thickening of the lining of the uterus ( endometrial hyperplasia ) , ovarian tumours - all these can also lead to such conditions. These are diagnosed by clinical examination and transvaginal scan, and sometimes, if needed - a laparoscopy.

Intake of hormonal medications, hormonal contraceptions, obesity , certain other drugs that affect the menstrual cycle , frequent travelling, sleep deprivation, drug /smoke or alcohol abuse - all these are contributory to such problems.

As the list is exhaustive, and by no means insignificant, kindly consult your gynecologist at the earliest. As you mentioned that pregnancy is out of question, I have left out that obvious possibility !

Please take care, and feel free to ask for further clarifications.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on

Recent questions on  Endometriosis

doctor1 MD

I was prescribed Pimulot-N 5mg by my doctor for endometriosis as I would have my period for 7 days. On the third day of my period take one tablet 3 times. I was given a total of 21 tablets. Today is the 11th day and I am still bleeding. I also have fibroids. Why am I still bleeding?

doctor1 MD

I have been experiencing pain in my left side, and am very fatigued. I have brought both of these things to my doctor s attention. He tested my blood for a variety of things. My ultrasound came back clear and I am going for a CT scan in two weeks. He thinks it may be endometriosis. Since I have seen my doctor, I developed what I thought was a yeast infection from the antibiotics he gave me just in case it was diverticultis. I had pink discharge and since then, sex has become very painful. It feels like my vaginal walls are rubbed raw. Is this something I should bring to my doctor s attention before the CT scan?

doctor1 MD

I have epilepsy. Is it safe for me to take homeopathic HCG drops for weight loss? A friend of mine has had great success with this. I take 400mgs of Phenytoin(Dilantin) plus 150mgs of Lamictal per day(maint. level @ 15). My last seizure was 14mos ago. (which is common for me; one a yr maybe) The seizures started in my mid 30's, I am 43 now. 5'6, 166lbs. Tests show no explaination. In good physical athletic condition. No allergies or other health issues. Had tubal done after 3rd child, developed endometriosis, had a complete hysterectomy. I do not take hormone replacements. I feel great but I'm burdened by an unappriciated amount of belly fat. I feel like I need help reaching my weight loss goals(25-30lbs)

doctor1 MD

Hi I m nicky age 35, I recently had a pelvic us scan which showed a septated cyst with vascularity. Over last 36 hours both of my legs have a tingling numbness feeling, I have a gyn appointment on tues am, should I. Seek help sooner or wait until tuesday? I have stage 4 endometriosis and had a laparoscopy in April.

doctor1 MD

I get a lower back pain which is excrucitating right after my cycle ends.its remians for 4-5 days. And have to take painkillers.Its very debiliating.The feeling is like something in stuck inside which is unable to come out.My lower portion gets...

doctor1 MD

My daughter, 30, no children has always had severe cramps and periods. Now, every two or three months, she almost passes out with pain, sweats profusely, turns white and freezing. I just witnessed this last night. How soon do I need to get her to...

doctor1 MD

Hello, my 18 year old daughter has been having HORRIBLE female problems. Within the last year she has been on Deproprevara, exploratory endometriosis surgery and then switched to Mirena IUD. Last week she switched to a new OBGYN and he put her on...