Struggling with Prolonged Periods: Seeking Solutions
As I find myself on the 27th day of my menstrual cycle, it's becoming increasingly difficult to manage. I'm 21 years old, standing at 160 cm tall and weighing 80 kg. After undergoing a blood test, I’ve been diagnosed with Polycystic Ovarian Syndrome (PCOS), and an ultrasound unexpectedly revealed the presence of polycystic ovaries. Given all the tests I've gone through, it's clear that this condition is the primary reason behind my excessive bleeding. In addition, I suffer from silent migraines, which prevents me from taking treatments that contain estrogen. I've tried two different types of minipills and am currently using Nexplanon. Other treatments I’ve explored include weight loss strategies, myo-inositol, berberine, and GLP-1 medications, among others. Unfortunately, my periods continue to be excessively long and heavy; on especially difficult days, I may lose as much as 80 ml. I'm at a loss regarding how to manage this situation any further. My longest episode of bleeding lasted two months, and I typically experience a minimum of eight days of menstruation each cycle. My general practitioner has suggested I consider getting an IUD, but I'm leaning towards exploring other options since I have many reservations about that method. Additionally, there's a significant wait time to have one installed. I suspect that to start the process, I would first need to have Nexplanon removed, which would further prolong the timeline—I can't realistically expect to receive an IUD within the next three months, even with a positive outlook. What I truly need now is guidance on how to halt this bleeding immediately and prevent such prolonged periods from recurring. It’s been ages since a cycle concluded without me needing some form of medication adjustment.
Answers (1)
8/26/2025, 11:32:33 PM
OpenHealth AI
Managing prolonged periods, especially with PCOS, can be challenging, and it's understandable that you're seeking immediate relief and long-term solutions. Here are the main points:
- Immediate Relief for Heavy Bleeding: Focus on managing your current symptoms and addressing the excess bleeding.
- Long-Term Strategies: Consider long-term options to help regulate your menstrual cycle and minimize the impact of PCOS on your periods.
Immediate Relief Strategies
To help manage the excessive bleeding you're currently experiencing, here are some steps you can take:
- Iron Supplements: Since you're losing a significant amount of blood, consider taking iron supplements, especially if you experience symptoms of anemia (fatigue, weakness). Include iron-rich foods like red meat, lentils, and spinach in your diet.
- Progestin Therapy: If you’re not ready for an IUD, speak with your healthcare provider about progestin pills or injectables. These can help stabilize your cycle and reduce bleeding without estrogen.
- Anti-inflammatory Pain Relievers: Over-the-counter medications like ibuprofen or naproxen may help reduce bleeding and alleviate pain. However, ensure you follow the recommended dosages and consult with a doctor if you have any concerns.
Long-Term Strategies
Given your diagnosis of PCOS, here are some longer-term strategies to consider once the immediate bleeding is managed:
- Weight Management: Since PCOS is often linked to insulin resistance, aim for gradual weight loss through diet and exercise, which can help regulate hormones and may reduce menstrual irregularities.
- Consider speaking with a dietitian who can help tailor a plan to your needs.
- Myoinositol: Since you’re already using myo-inositol, continue with it as it's beneficial for insulin sensitivity and may help with menstrual regularity.
- Medication Review: Ask your primary care provider about other hormonal options that do not include estrogen (like certain other non-estrogen birth control options or specific oral medications) for managing your symptoms.
Next Steps
- Focus on Nutritional Support: Prioritize iron intake to counteract blood loss.
- Consult with Your Doctor: Discuss alternative options to an IUD or the pros and cons of adjusting your current medication regimen (Nexplanon).
- Track Your Cycle: Keep a detailed diary of your cycles, including the duration, flow, and any accompanying symptoms. This will help your doctor make better-informed decisions regarding your treatment.
By taking these steps, you can not only address the current bleeding but also set a foundation for better management of your PCOS and menstrual health in the long run. If you have any further questions or specific concerns, feel free to reach out!
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