Excessive Menstrual Bleeding Concerns
Age: 33, Weight: 215 lbs, Height: 5'6" Medical Conditions: Diagnosed with endometriosis (confirmed via laparoscopy), polycystic ovary syndrome (PCOS), and autism. I am currently on a regimen of 200mg of progesterone, which I take for 14 days followed by a 14-day break. Two days ago, I experienced the onset of what I considered my menstrual cycle. Initially, the flow was manageable, but the following day it escalated to an unexpectedly heavy discharge. Upon waking, I felt an unsettling wetness. I quickly used baby wipes available on my nightstand to clean myself before heading to the bathroom for a more thorough clean up. However, before I could reach the bathroom—only a short distance away—I noticed blood seeping down my thighs accompanied by numerous small clots, rendering my earlier efforts futile. Throughout today, overwhelming fatigue has plagued me, leaving me with very little energy. To manage the situation, I’ve been relying on super absorbent tampons paired with overnight pads to avoid any accidents. I find myself needing to change them every couple of hours, and each time they are fully saturated by then. My husband is quite concerned and suggests we visit the emergency room, believing my bleeding is excessive, yet I feel a bit embarrassed at the idea of seeking medical help for what seems like a typical menstrual issue. Could this heavy bleeding be a reaction to the progesterone? Should I anticipate improvement by tomorrow? Having dealt with challenging menstrual cycles for years due to my endometriosis, this particular episode stands out as markedly different from what I've experienced in the past. While I have encountered heavy bleeding before, I have never seen this degree of blood loss, though I am fortunate enough not to be in pain. Additionally, I usually have some clots, but the quantity and size of the clots this time are more significant than I am accustomed to.
Answers (1)
8/10/2025, 9:20:47 PM
OpenHealth AI
It's understandable to be concerned about heavy menstrual bleeding, especially given your medical history with endometriosis and PCOS. Heavy bleeding can sometimes occur during periods, especially in individuals with these conditions, but the level of bleeding you're experiencing does warrant attention.
Main Points:
- Heavy menstrual bleeding with large clots can be concerning and may need medical evaluation, especially since it deviates from your typical experience.
- Fatigue you're experiencing could be related to blood loss.
- While progesterone can cause changes in bleeding patterns, the severity of your current situation suggests that seeking help might be necessary.
Explanation:
Your symptoms of very heavy bleeding, needing frequent pad and tampon changes, and the presence of significant clots suggest that the bleeding may exceed what is generally considered normal for menstrual flow. With the emphasis on clots and restlessness about your energy levels, it’s important to assess for potential issues like anemia or other complications.
Progesterone is used to help regulate menstrual cycles, but for some, it can lead to changes in bleeding patterns. Given your history of endometriosis and PCOS, your body may react more dramatically due to these underlying conditions. Though it’s possible that this issue will resolve, notably heavy periods should not be taken lightly.
Next Steps:
- Monitor Your Symptoms: Pay attention to any changes in bleeding, energy levels, or the presence of pain. Keep track of how often you need to change your products and any additional symptoms you may experience.
- Hydration and Nutrition: Ensure you’re drinking plenty of fluids and eating balanced meals to help support your energy levels and nourishment as your body copes with this heavy bleeding.
- Consider Medical Attention: Since this episode stands out as significantly different from your usual experience, it may be wise to contact a healthcare provider. If your bleeding continues to be heavy or if you experience symptoms like dizziness, heart palpitations, or significant fatigue, seek medical attention more urgently—either through urgent care or the emergency room.
- Discuss with Your Provider: When you are able, consider discussing your current progesterone regimen and any changes in bleeding with your healthcare provider. They can help determine if a dosage adjustment, additional treatment for your bleeding issues, or further investigation is needed.
It’s important to prioritize your health, and seeking help when you’re feeling unsure is a valid and wise decision. You're not alone in navigating these complex symptoms, and it's completely appropriate to seek assistance for your well-being.
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