Prolonged Bleeding Concerns
Age: 32 Gender: Female Height: 5 feet 2 inches Weight: 159 lbs Medications: Wellbutrin XL 150 mg, Zoloft 150 mg Duration of bleeding: One month Location: California I am currently breastfeeding my 17-month-old child. Initially, I began experiencing bleeding that was dark brown, resembling a typical menstrual cycle, albeit not excessively heavy. This initial bleeding persisted for about ten days, then paused for a brief period of one or two days, only to resume and continue for a month in a similar way. Subsequently, I noticed an increase in discharge that was quite watery; I used a pad during this time, and there was no unpleasant odor. This watery discharge lasted for two days before I transitioned to experiencing heavy bleeding that was bright red in color. At this stage, I found myself needing to change pads every hour and a half due to the intensity, which persisted for the last three days. This heavy bleeding is occurring intermittently, with episodes lasting as long as five hours. Additionally, I am uncertain whether my situation is related, but last year I received news of an abnormal PAP test. I was diagnosed with CIN 3 and underwent a LEAP procedure to extract the affected tissue. This was performed six months after giving birth, following which I experienced an infection that was resolved with antibiotics. This year, I once again had an abnormal PAP result, this time indicating CIN 2, but my physician informed me that no further treatment is necessary at this point. My doctor mentioned that such bleeding can be expected while breastfeeding and is likely associated with hormonal changes. An ultrasound is planned to investigate further. I'm curious if others have encountered similar experiences and how long the bleeding might last.
Answers (1)
8/27/2025, 5:34:36 PM
OpenHealth AI
It sounds like you're navigating a particularly challenging situation with your prolonged bleeding. Based on your description, there are a few important points to consider.
Main Points:
- Prolonged bleeding while breastfeeding can be influenced by hormonal changes.
- Your previous history with cervical issues, including CIN 2, could also be relevant.
- Monitoring and further investigation through an ultrasound are crucial steps.
Explanation:
The bleeding you've experienced for over a month, particularly with changes in color and intensity, can be distressing. Hormonal changes associated with breastfeeding can lead to irregular menstrual cycles, and some women experience changes in bleeding patterns during this time. However, given your history of abnormal PAP tests and the recent shift to such heavy bleeding, it's wise to pay close attention to these symptoms. Heavy bleeding can sometimes indicate other conditions, such as fibroids, polyps, or issues related to cervical health.
Next Steps:
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Track Your Symptoms: Maintain a record of your bleeding patterns, including color, volume, and frequency. Note any additional symptoms like cramps or fatigue, as this information can be invaluable for your healthcare provider.
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Prepare for Your Ultrasound: Ensure you ask your doctor any questions you may have about the ultrasound. This test will help identify physical causes for the bleeding, so understanding the procedure and its importance is essential.
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Stay Hydrated and Use Appropriate Products: While managing the heavy bleeding, stay hydrated and use absorbent pads to avoid discomfort. If you notice that you're changing pads every hour or less, this warrants immediate attention, particularly if it continues.
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Follow-Up on Your Cervical Health: Continue to monitor your cervical health status. It may be beneficial to discuss with your healthcare provider any necessary follow-ups regarding your abnormal PAP tests and CIN history, especially if symptoms change or worsen.
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Consider Seeking Support: If the emotional toll of this experience becomes overwhelming, consider talking with friends, family, support groups, or a mental health professional. Your emotional well-being is as important as your physical health.
Please keep an open line with your healthcare provider, especially as your ultrasound approaches, and don't hesitate to report any drastically worsening symptoms. You are taking the right steps, and it's good to stay informed and vigilant in your health journey.
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