What can cause irregular menstrual bleeding?

Question

Hi doctor,

I am suffering from irregular bleeding for the past six weeks. I have been using Mirena for the past 10 years for birth control and PCOD. After Mirena my periods had stopped and I would get them once in six months for a day. In six weeks, I have got this bleeding for the third time. It lasts for a maximum for a couple of days. I am diabetic too, and it is under control.

Answer 1

Hi,

Welcome to icliniq.com.

As per your history, it appears that you are having abnormal uterine bleeding and the cause can be many. As you told that you are diabetic, I would advise you to get a transvaginal scan first and followed by endometrial sampling to rule out the cause. In your case of irregular bleeding my suspicion goes for hormonal disturbance. Please revert back after ultrasound for endometrial thickness.

Answer 2

Hi,

Welcome back to icliniq.com.

I have seen your reports (attachment removed to protect patient identity). The endometrial thickness is normal. The pap smear and HPV (human papilloma virus) is also fine. Mirena - intrauterine device is there. So, I think there is no need to worry. Pause-MF (Tranexamic acid) is fine and you can take it whenever you have bleeding. But, if another episode happens then get endometrial sampling done.

Answer 3

Hi,

Welcome back to icliniq.com.

This is the cytology report of cervical smear and it is normal. No malignancy or any infection seen. You need not worry and it is absolutely fine.