I bled twice this month due to stress. Should I worry?

Hell,

Welcome to icliniq.com.

First of all stop worrying. We can take care of this. Stress can also play a vital role in hormonal functions. So try to calm and relax yourself first. See in general, an average length of the menstrual cycle that is considered normal is 28 plus minus 7 days, so any deviation either before or after is abnormal. Coming to your present menstrual history, you got early bleeding this time. This mostly suggests some hormonal disturbance which needs to be evaluated. It could be related to your thyroid hormone or even a lifestyle related problem called PCOS (polycystic ovarian syndrome). But however any structural causes like polyps or fibroids also need to be ruled out for which ultrasound is required along with an examination by your gynecologist.

Based on the past history, it appears probably you must have had an entity called endometriosis or scar endometriosis (in your cesarean scar). This usually happens under the influence of the hormones that occurs in natural menstrual cycles when you are ovulating. Right now probably you did not ovulate either because of stress or due to the hormonal changes (we need to evaluate). I am suggesting a few tests that you need to take so that we can have a look into this. Meanwhile, try to work on your lifestyle changes, do regular exercises and take adequate dietary precautions (avoid fatty or sugary or high carb junk foods). All these measures will have beneficial effects on you. Try to meditate or do yoga for relaxation. I would also like to know if you had any recent weight gain or weight loss, any excess acne development or excess facial hair growth, or scalp hair loss. Also, if you have any headaches or visual changes. It would be good if you could share the details of your recent ultrasound reports, your scar tissue biopsy report if any done, and the details of your previous issue which I am suspecting it to be endometriosis to guide you on the present problem. The reports you shared show a good hemoglobin levels. So nothing to worry in that.

Hello,

Welcome back to icliniq.com.

As you have already been examined by your gynecologist, rest assured. There might not be any suspicion of cancer then as you were worrying. So remove those thoughts from your mind. This is mostly some hormonal disturbance. Please get yourself evaluated for the same. Thyroid need not be normal always. It is better to recheck it again now because your cycles are disturbed. And also most recently you have been stressed out. Also, get a fresh ultrasound to look for any polycystic changes in ovaries which may not be evident by physical examination or some uterine polyps which are also known to cause intermenstrual spotting or bleeding. Please get the investigations mentioned and consult your gynecologist for further management. There may be a need to put on hormonal medications like birth control pills just in case this repeats again but also depending on ultrasound and blood results may need some other medications accordingly. Be stress-free and work on correcting your lifestyle too.