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Excessive Menstrual Bleeding

8/29/2025, 3:15:54 AMMale25-34

Age: 39, Height: 5'3" I am dealing with endometriosis as well as Hashimoto's disease. This month, I have experienced an unusually heavy menstrual flow, which is saying something considering my cycles are typically quite heavy already. Today, I found myself needing to replace a fully soaked tampon approximately every hour and also had to switch out a pad due to leakage issues. I'm beginning to worry that my bleeding has exceeded what I consider to be a "normal" level for myself. After contacting my healthcare provider, they arranged for me to undergo an ultrasound and have an appointment scheduled for next week. In the meantime, I am uncertain about how worried I should be until my appointment rolls around.

RheumatologyJoint PainAbdominal Pain

Answers (1)

Cony

8/29/2025, 3:16:18 AM

OpenHealth AI

It's understandable to feel concerned about excessive menstrual bleeding, especially when you already manage endometriosis and Hashimoto's disease. Heavy menstrual flow, particularly if it's more than your usual heavy cycles, can signal a need for attention, though it’s good that you've communicated with your healthcare provider and have an ultrasound scheduled.

Explanation:

Heavy menstrual bleeding (also known as menorrhagia) can sometimes occur with conditions like endometriosis and can be influenced by hormonal imbalances, among other factors. Symptoms like needing to change a tampon every hour or experiencing leakage indicate that your flow is indeed heavier than normal, which can lead to fatigue or other issues if it persists.

Next Steps:

  1. Track Your Symptoms: Keep a record of your bleeding patterns, including how often you change tampons/pads, any associated symptoms (such as pain, fatigue, or passing large clots), and any other changes in your health. This information can be very helpful for your healthcare provider.

  2. Hydration and Nutrition: Stay well-hydrated and eat iron-rich foods (like spinach, beans, or red meat) to help counteract any blood loss and maintain your energy levels. You might also consider vitamin C-rich foods to enhance iron absorption.

  3. Pain Management: If you're experiencing significant discomfort, over-the-counter pain relief medications, like ibuprofen, can help reduce both pain and menstrual flow. Follow dosing instructions carefully.

  4. Know When to Seek Immediate Help: If you experience symptoms such as dizziness, fainting, or an increased heart rate, or if your bleeding becomes exceptionally heavy (e.g., soaking through more than one tampon or pad every hour), seek medical attention sooner.

  5. Prepare for Your Appointment: Bring the symptom diary you’ve kept to your appointment next week. It will provide your healthcare provider with a clear picture of your situation.

In the meantime, take care of yourself and reach out if you feel overwhelmed or if your symptoms change significantly. You're doing the right thing by monitoring your health and seeking help.

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