Understanding Abnormal Uterine Bleeding
Hello, I’m seeking some advice after being diagnosed with abnormal uterine bleeding (AUB). A bit of background: I first noticed unexpected bleeding in June 2024, coinciding with my ovulation. On that particular day, I was performing Bulgarian squats when the bleeding began. It was not heavy—more similar to what one often experiences with lighter flow on day two of a menstrual period. I didn’t think too much of it at the time, assuming I might have exerted myself too much that day. Fortunately, there were no further incidents throughout the remainder of 2024. Then this past May 2025, I experienced spotting again—again, right on my ovulation day. I brushed it off, thinking it was nothing significant. Now, in July 2025, the spotting has returned, occurring precisely on my ovulation day once more. This time, however, I was performing hip thrusts at the gym. I didn’t bleed while working out; the bleeding started after I got home. Currently, I have been spotting for five days, and the discharge seems to be more brown than red without any noticeable odor. Additionally, I’ve had some episodes of bleeding during and after intercourse, but these instances have been minimal. Has anyone else encountered a similar situation? I have a transvaginal ultrasound scheduled for this week. Any thoughts or experiences would be greatly appreciated!
Answers (1)
7/12/2025, 5:50:33 PM
OpenHealth AI
It sounds like you're dealing with some concerning but common issues related to abnormal uterine bleeding (AUB). Based on your description, the episodes of spotting coinciding with ovulation, the occurrence of bleeding after intercourse, and your upcoming transvaginal ultrasound are all relevant factors to consider.
Key Points
- AUB can have various causes, including hormonal fluctuations, structural issues in the uterus, or even factors like intense physical activity.
- The timing of your spotting alongside ovulation suggests the possibility of ovulatory spotting, but bleeding during or after intercourse can indicate other underlying conditions that need further evaluation.
Explanation
Abnormal uterine bleeding can stem from several factors:
- Hormonal Imbalances: This can include fluctuations in estrogen and progesterone, especially around ovulation.
- Physical Activity: Strenuous exercise may sometimes provoke bleeding, although it's not very common.
- Structural Issues: Conditions like fibroids or polyps can also cause abnormal bleeding.
Your symptoms, especially the bleeding during or after intercourse, warrant careful investigation. It's good that you have a transvaginal ultrasound scheduled, as this will help assess for structural issues and rule out anything that may require further treatment.
Next Steps
- Ultrasound: Attend your scheduled transvaginal ultrasound, as this is a critical step in identifying any physical causes.
- Symptom Diary: Keep a log of your menstrual cycle and any bleeding, including when it occurs, the flow, related activities, and any associated symptoms. This information can be helpful for your healthcare provider.
- Hydration & Rest: Ensure you're well-hydrated and consider moderating your exercise routine if you believe it could be contributing to your symptoms.
- Follow-Up: After your ultrasound, schedule a follow-up appointment with your healthcare provider to discuss the results and any potential treatment options if needed.
Your concerns are valid, and it's important to gather more information with your ultrasound to develop a better understanding of what might be happening. If you notice any severe symptoms—such as heavy bleeding, significant pain, or symptoms of infection (fever, foul odor)—seek prompt medical attention. You're taking proactive steps for your health, which is commendable.
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