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What can cause irregular menstrual bleeding?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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.
Answered by Dr. Shruti Kainth Kaushal

Education:

MBBS

Professional Bio:

Dr. Shruti Kainth Kaushal is an Obstetrician and a Gynecologist with 17 years of clinical experience. She completed her MBBS at the University of Delhi and DGO at the Maulana Azad Medical College. She handles all problems related to women right from puberty to pregnancy, childbirth to menopause. Currently, she is practicing at JP Hospital, Zirakpur, Punjab.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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.

Investigations to be done

1. Transvaginal scan and endometrial sampling. 2. Fasting blood sugar.

Patient's Query

Thank you doctor,

I got a pap smear and HPV done as a routine. Please see my report. Also, the bleeding is not there for the past 10 days. I have attached my TVS report too. Can you please let me know that all is fine? The doctor gave me Pause-MF (Tranexamic acid) to have if I have bleeding.

Answered by Dr. Shruti Kainth Kaushal

Education:

MBBS

Professional Bio:

Dr. Shruti Kainth Kaushal is an Obstetrician and a Gynecologist with 17 years of clinical experience. She completed her MBBS at the University of Delhi and DGO at the Maulana Azad Medical College. She handles all problems related to women right from puberty to pregnancy, childbirth to menopause. Currently, she is practicing at JP Hospital, Zirakpur, Punjab.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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.

Patient's Query

Thank you doctor,

Thank you very much for your reply. I just wanted to understand the cervical smear report. Could you please explain? Is there any cause for concern?

Answered by Dr. Shruti Kainth Kaushal

Education:

MBBS

Professional Bio:

Dr. Shruti Kainth Kaushal is an Obstetrician and a Gynecologist with 17 years of clinical experience. She completed her MBBS at the University of Delhi and DGO at the Maulana Azad Medical College. She handles all problems related to women right from puberty to pregnancy, childbirth to menopause. Currently, she is practicing at JP Hospital, Zirakpur, Punjab.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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.

Medically reviewed by iCliniq medical review team
Published At May 17, 2018
Reviewed At January 9, 2024

Education:

MBBS

Professional Bio:

Dr. Shruti Kainth Kaushal is an Obstetrician and a Gynecologist with 17 years of clinical experience. She completed her MBBS at the University of Delhi and DGO at the Maulana Azad Medical College. She handles all problems related to women right from puberty to pregnancy, childbirth to menopause. Currently, she is practicing at JP Hospital, Zirakpur, Punjab.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Companion

Irregular Menstrual Bleeding Companion

How it works

Irregular menstrual bleeding can be concerning. This section helps you understand potential causes, diagnostic steps, and management options based on common clinical scenarios.

1

Irregular
Bleeding

2

Potential
Causes

3

Initial
Evaluation

4

Interpreting
Results

5

Managing
Bleeding

6

When to
Re-evaluate

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
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Dr. Shruti Kainth Kaushal

Obstetrics and Gynecology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Shruti Kainth Kaushal is an Obstetrician and a Gynecologist with 17 years of clinical experience. She completed her MBBS at the University of Delhi and DGO at the Maulana Azad Medical College. She handles all problems related to women right from puberty to pregnancy, childbirth to menopause. Currently, she is practicing at JP Hospital, Zirakpur, Punjab.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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