Dr. Sanap Sneha Umrao
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I want to know what is meant by retrograde menstruation. Does this mean you can bleed from the anal passage due to menstruation? I have very heavy periods due to perimenopause and noticed heavy bleeding on a specific day. However, I continued to perform strenuous exercise on that day as well. I underwent a pelvic MRI earlier this year, and no gynecological problems were found. I also underwent a rectal and colon examination which turned out to be normal.
Kindly help.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern. Retrograde menstruation means blood flows backward in the fallopian tubes instead of the vagina. It usually occurs when you masturbate or have sexual intercourse during menstruation. I want to know if the MRI showed retrograde menstruation.
Revert with the answer to assist further. Thank you and take care.
Regards.
Patient's Query
Hello doctor,
Thank you for the reply.
The MRI reports showed no gynecological pathology. However, I am just a bit concerned about the rectal bleeding, although it is mostly small amounts. I did experience significantly more on the day I did a lot of exercises. All my tests, which were done recently, are all normal.
Kindly help.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
As you previously mentioned, you have constipation, so rectal bleeding is a potential outcome in the case of hard stool. Rectal bleeding could not be related to menstruation unless there is some fistula, and retrograde menstruation means the backflow of blood into the fallopian tubes and not in the rectum also, you informed me that you had a colonoscopy, MRI (magnetic resonance imaging), and CT (computerized tomography) scan, which were all normal. In my opinion, this bleeding could be because of constipation, and to avoid this, I suggest the following lifestyle changes. Have a high-fiber diet. Avoid oily and high-fat-containing foods. Keep yourself hydrated. Take at least three liters of water daily. Have more green leafy vegetables and fruits, especially citrus fruits, in your diet. I also recommend that you take the following medication, which helps you to relieve constipation. Use stool softeners like syrup. Cremaffin (Liquid Paraffin and Magnesium Hydroxide) two tablespoons twice daily.
I hope this helps. Thank you and take care.
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Obstetrics and Gynecology
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