Why is there an irregular flow of spotting and heavy flow in a peri-menopausal woman?
ADVERTISEMENT

Q. I just spotted last month but had a heavy period this month. What could be the reason?

Answered by
Dr. Sameer Kumar
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Oct 04, 2020 and last reviewed on: Oct 10, 2020

Hi doctor,

I am a 43-year-old female. During my last period, I had only spotting for three days. This month I had a heavy period. Here the doctor checked my USG, blood tests, and urine test reports. She said everything is normal. She prescribed Tranexamic acid and Provera, a Progestin pill 5 mg three times a day. My endometrium was 11 mm thick. I want to change to medicine Duoluton L, a combined pill, as I am still spotting. Please advise.

#

Hello,

Welcome to icliniq.com.

For you, as this was just the first episode of hypomenorrhea (scanty period) followed by menorrhagia (heavy period) with continuous irregular shedding in the form of spotting per vaginum, you can wait upon it to stop or can start Duoluton L (Levonorgestrel and Ethinyl estradiol), ideally from day three to five of your cycle to allow it to offer combined pill as well as contraceptive effect. The endometrium of 11 mm does not qualify you for endometrial hyperplasia. This atypical cycle can be the onset of your peri-menopausal status, which usually starts two years before the actual beginning of menopause. If you are in your mid-cycle, you can opt to add back contraception for the next seven days after starting Duoluton L. Take pills for at least two cycles with a pill-free period of seven days.

Regards.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
How to find whether my symptoms are due to PCOS or perimenopause?

Ever since my first period, my cycles have always been irregular ... Now, since three months I have not got my period at all ...   Read full

Delayed periods even after taking Gestin. What is the reason?

Hi doctor, I am suffering with delayed periods ... But still have not got my periods ...   Read full

What causes heavy bleeding in a patient with ovarian cyst?

.. a beta hCG of 816 and a cyst in the left adnexa with bleeding from vagina the first probable diagnosis is ectopic pregnancy. However, it is likely that it is an abortion of the tubal ectopic pregnancy which means that probably there was an ectopic preg   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.