Q. I have slight bleeding on and off for a month. Does it indicate endometriosis?

Answered by
Dr. Priyadarshini Tripathy
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Sep 07, 2020 and last reviewed on: Sep 10, 2020

So I got my regular period on the 2nd of last month and it ended on the 8th then on the 14th it started up again It hasn’t been really heavy except every now and then it will be there has been no clots and it’s now the 6th of this month and it still hasn’t stoped. I do have family history of endometriosis my mom had it and so did my grandmother. But I’m worried this has never happened to me before. I’ve had long periods in the past but nothing past 2 1/2 weeks. HELP!!



Welcome to icliniq.com Thanks for reaching out. I am happy to help you.

Seems like you have prolonged menstrual bleeding. There are a lot of causes attributed to this. It's very important to reach a particular diagnosis by doing certain investigations. So that we can opt for the right treatment for you.

As you mentioned you have a strong family history of endometriosis, which might be one of the reasons for this kind of prolonged bleeding but mostly associated with pain. Few of the other causes are like:

  1. Hormonal imbalances
  2. Uterine, Cervical lesions
  3. PCOS
  4. Pelvic inflammatory disease
  5. Bleeding disorders
  6. Rarely cancer of uterus, cervix, vagina, ovary

If we don't do the right diagnosis for this prolonged bleeding and give you appropriate treatment at the right time, there are chances that you might suffer from low hemoglobin levels and leading to easy fatigue, affecting your lifestyle and other activities.

So if you can do the below investigations, it will be very helpful. We can do a follow-up after results are available .

The Probable causes:

Abnormal uterine bleeding

Investigations to be done:

Complete/ full blood count
Thyroid function test
Coagulation profile
Ultrasound pelvis (If possible transvaginal)- to comment on endometrial thickness, polyp, fibroid, endometriosis, congenital abnormalities or any other local pathology.
STI screen if sexually active

Differential diagnosis:

Hormonal imbalances
Uterine, Cervical lesions
Pelvic inflammatory disease
Bleeding disorders
Rarely cancer of uterus, cervix, vagina, ovary

Treatment plan:

If the bleeding is very heavy, you can have Tab Tranexamic acid 500 twice a day while waiting for the results

Preventive measures:

Proper nutrition and exercise.

Regarding follow up:

After lab/ USG results are available

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