What Can I Do to Curb Unwanted Menstrual Bleeding?
Greetings, Today marks the 10th day of my cycle, and I am still experiencing bleeding. Recently, I began taking Femilon (which contains Desogestrel and Ethinyl Estradiol) to address my ongoing issue with intermenstrual bleeding, something that has troubled me for the past two years. Prior to this, I was on Norethisterone for five months, but I didn’t see any significant improvement, which led me to switch to Femilon. Unfortunately, this hasn't resolved my bleeding either. I’m feeling incredibly drained from the constant blood flow. I have consulted three different gynecologists so far, but none of them have provided me with any effective solutions. Here are some key test results that might be relevant: * My testosterone levels were slightly elevated, with the upper limit at 60 and my result at 90. I am currently taking Spironolactone to manage this. * My thyroid function is normal. * A transvaginal ultrasound showed normal results. * I am iron deficient and am taking supplements to address this issue. * There is mild insulin resistance, for which I am prescribed Metformin. Despite all this, I continue to bleed, and it’s becoming mentally taxing for me. I would greatly appreciate any advice or assistance in dealing with this situation. Thank you very much in advance!
Answers (1)
9/7/2025, 9:31:04 AM
OpenHealth AI
I'm really sorry to hear about the challenges you’re facing with persistent menstrual bleeding. It’s understandable to feel drained both physically and mentally given the duration and the impact on your life. Let's address your concerns with a focus on actionable steps to help manage your situation.
Main Points:
- Persistent menstrual bleeding can be frustrating and draining.
- It’s important to address your overall health and any contributing factors.
- Specific self-care strategies and monitoring can help to manage symptoms.
Explanation:
Your current treatment with Femilon (a combined hormonal contraceptive) is often used to regulate bleeding. Since you have been experiencing ongoing bleeding for an extensive duration, it’s crucial to consider a few aspects:
- Hormonal imbalances may be contributing to your bleeding, particularly given the elevated testosterone and the insulin resistance you mentioned. These hormonal variations can impact menstrual cycles.
- Iron deficiency can lead to weakness and fatigue, making it even more imperative to manage your bleeding.
- You indicated that previous treatments haven’t worked as hoped; therefore, finding ways to support your body while managing your symptoms can be a critical next step.
Prioritized Next Steps:
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Track Your Bleeding: Keep a daily log of your bleeding (amount, frequency, and associated symptoms). This can help identify patterns and triggers, which may be useful for your healthcare provider.
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Manage Iron Levels: Ensure your iron deficiency is monitored closely. Taking iron supplements as prescribed may help with energy levels, but also consider including iron-rich foods in your diet (like leafy greens, lean meats, and legumes).
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Consider Dietary Adjustments: Eat a balanced diet rich in vitamins B12 and C, which support blood health. Adding foods that are anti-inflammatory may also help (like fish, nuts, fruits, and vegetables).
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Hydration and Rest: Stay well-hydrated and ensure you are getting sufficient rest. Fatigue can worsen your experience of bleeding.
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Revisit Medication Management: Since you're not seeing the desired effects from Femilon, discuss with your healthcare providers the possibility of trying a different contraceptive method or treatment plan (potentially including newer options like IUDs, hormonal therapy adjustments, or additional medications).
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Monitor Emotional Well-Being: Persistent bleeding can take an emotional toll. Consider speaking with a counselor or therapist for support if you're feeling overwhelmed.
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Stay in Touch With Healthcare Providers: Regular follow-ups with your gynecologist or an endocrinologist may be beneficial to reevaluate your treatment options, especially given your elevated testosterone and insulin resistance.
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Explore Additional Tests: If this persists, inquire about further evaluation for any underlying conditions that might be contributing to your bleeding.
Your health is important, and I encourage you to keep advocating for yourself as you navigate these challenges. Let me know if you have any other questions or need further support!
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