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

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

Patient's Query

Hi doctor,

I got my regular periods and it stopped after five days. After ten days, it got started again. It was not heavy but I had some clots now and then. Still, it has been two and a half weeks, it has not stopped till now. I have a family history of endometriosis. My mother and my grandmother had it. But I am worried. I do not have this before. I am having prolonged periods for the past two and a half weeks. Kindly help.

Answered by Dr. Priyadarshini Tripathy

Education:

MS Obstetrics and Gynecology

Professional Bio:

Dr. Priyadarshini Tripathy is a board-certified Obstetrician and Gynecologist. She has also been trained as a fellow in Laparoscopic Minimal Access Surgery (FMAS), Colposcopy, and Preventive Oncology from some of the premier institutes in India. She has acquired extensive experience in the specialty over this time, and the variety of exposure has enriched her skills and is also a highly qualified academician. She is actively involved in numerous clinical trials and medical research in infertility, PCOS, and perinatal mental health.

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

Hi,

Welcome to icliniq.com.

It seems that you have prolonged menstrual bleeding. There are many reasons to have this issue. It is very important to reach a definitive diagnosis by doing certain investigations. So that, appropriate treatment can be given. As you have a family history of endometriosis, it can also be a reason for having prolonged bleeding with pain. The other causes can be hormonal imbalance, uterine and cervical lesions, PCOS (polycystic ovarian syndrome), pelvic inflammatory disease (PID), bleeding disorders, and rarely cancer of the uterus, cervix, vagina, and ovary. If you are not knowing the definitive diagnosis and taking treatment, then you can have a chance to develop fatigue due to low hemoglobin levels. It affects your lifestyle and other activities. You need to do these investigations and it helps you a lot. Have a follow-up after getting the results.

The Probable causes

You have abnormal uterine bleeding.

Investigations to be done

You need to do a complete blood count, thyroid function test, coagulation profile, and ultrasound pelvis. You can also do transvaginal to know about endometrial thickness, polyp, fibroid, endometriosis, congenital abnormalities, or any other local pathology. You need to do tests for STI (sexually transmitted infections) if you are sexually active.

Differential diagnosis

You can have hormonal imbalances, uterine, cervical lesions, PCOS (polycystic ovarian syndrome), pelvic inflammatory disease, bleeding disorders, and rarely cancer of the uterus, cervix, vagina, and ovary.

Treatment plan

You can take tablet Tranexamic acid 500 mg twice a day while having heavy bleeding.

Preventive measures

Take proper nutrition and do exercise.

Regarding follow up

Have a follow-up after getting the results.
Medically reviewed by Dr. Sneha Kannan
Published At September 7, 2020
Reviewed At September 6, 2023

Education:

MS Obstetrics and Gynecology

Professional Bio:

Dr. Priyadarshini Tripathy is a board-certified Obstetrician and Gynecologist. She has also been trained as a fellow in Laparoscopic Minimal Access Surgery (FMAS), Colposcopy, and Preventive Oncology from some of the premier institutes in India. She has acquired extensive experience in the specialty over this time, and the variety of exposure has enriched her skills and is also a highly qualified academician. She is actively involved in numerous clinical trials and medical research in infertility, PCOS, and perinatal mental health.

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

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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

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

Education:

MS Obstetrics and Gynecology

Professional Bio:

Dr. Priyadarshini Tripathy is a board-certified Obstetrician and Gynecologist. She has also been trained as a fellow in Laparoscopic Minimal Access Surgery (FMAS), Colposcopy, and Preventive Oncology from some of the premier institutes in India. She has acquired extensive experience in the specialty over this time, and the variety of exposure has enriched her skills and is also a highly qualified academician. She is actively involved in numerous clinical trials and medical research in infertility, PCOS, and perinatal mental health.

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

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