Extended Bleeding Episode?
I (23F) haven't been diligent in monitoring my menstrual cycle lately, but typically, it's quite consistent, occurring every 28 to 30 days—a routine I've maintained for most of my life. I anticipated my period around March 5; instead, I experienced light spotting that initiated on that date and persisted throughout the week, tapering off around March 12. Since that time, the spotting has progressively intensified. On March 22, it progressed to moderate bleeding accompanied by clots, and I've been enduring cramps daily since then. It genuinely resembles a menstrual cycle, but it's certainly prolonged—I've never had a period last beyond 7 days, and I find myself on day 22 now. A few additional notes: - I am not on any form of birth control, and I’ve only had light spotting like this once before when I had a Liletta IUD for a month, which I had removed over a year ago. - My partner and I rely on condoms, but he does not practice withdrawal. - I commenced treatment with Dupixent at the end of January. However, my dermatologist has indicated that in her extensive experience, she has never encountered spotting or bleeding lasting over three weeks as a side effect of the medication. - Unrelated to the bleeding, I've also had episodes of nausea following meals that I usually enjoy: - February 14 after eating sushi - March 10 after consuming beef tartare - March 17 after eating very little (Being a fan of sushi and steak, these reactions were particularly odd for me.) The feelings of nausea have subsided, yet the bleeding has worsened, leading to significant discomfort with daily cramps. This situation is unlike anything I’ve encountered before, and I'm contemplating whether this could be linked to a chemical pregnancy or perhaps something else entirely. I took a pregnancy test today, which returned negative. Nevertheless, the dermatologist mentioned that it could still show up negative even if a miscarriage occurred. Has anyone experienced anything akin to this? I would greatly appreciate any insights or shared experiences, as I find myself quite anxious and eager to understand what’s happening.
Answers (1)
3/26/2025, 5:40:44 PM
OpenHealth AI
It sounds like you're experiencing a concerning episode of prolonged bleeding along with discomfort, which understandably has you feeling anxious. Let's break down your situation and provide some clarity along with actionable steps.
Main Points:
You've had a prolonged bleeding episode lasting over three weeks, accompanied by cramps and clots. You’ve ruled out pregnancy but have other health factors to consider.
Explanation:
- Bleeding Duration: Menstrual bleeding typically lasts between 3 to 7 days. Extended bleeding can result from various factors, including hormonal imbalances, changes in medication, or other health conditions.
- Dupixent Use: While your dermatologist indicated that bleeding is not a common side effect, any new medication can affect your body in unanticipated ways.
- Nausea Episodes: Your episodes of nausea following meals, especially after specific foods, might suggest intolerances or other gastrointestinal issues, but they seem unrelated to your current bleeding.
- Potential Causes: The bleeding could be related to hormonal fluctuations, a possible miscarriage (even if the pregnancy test is negative), uterine fibroids, or other medical conditions. Given your medical history and the current symptoms, it’s wise to explore these possibilities.
Next Steps:
- Track Symptoms: Keep a detailed log of your bleeding patterns, pain levels, and any other symptoms. Note when your cramps are severe or if there are any changes in your bleeding (color, flow, or anything unusual).
- Hydration and Comfort Measures: Stay hydrated, and consider taking over-the-counter pain relief for cramps if you haven’t already, following the instructions on the package.
- Limit Physical Activity: Try to take it easy and avoid strenuous exercise until you feel better.
- Seek Medical Attention: Given the prolonged bleeding and discomfort, it’s important to consult with a healthcare provider as soon as possible. They may suggest blood tests, an ultrasound, or other examinations to better understand your symptoms and provide a proper diagnosis.
Reassurance:
It’s completely normal to feel concerned, especially since this situation is unlike anything you’ve experienced before. Gathering information, monitoring symptoms, and speaking with a healthcare professional will help you find the answers and support you need. If you have any further questions or concerns in the meantime, feel free to reach out.
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