Prolonged Bleeding for 40 Days
Background: Throughout my teenage years, I've experienced inconsistencies with my menstrual cycle, often skipping a month. Last year was particularly challenging when I didn’t have a period for six months, during which I also gained 10 kilograms. Upon finally getting my period again after that lengthy absence, I decided to consult with my gynecologist. She recommended that I undergo hormone testing and advised me to shed some weight. The results of the hormone tests came back normal. A month later, I noticed some blood discharge and initially assumed it was my period. True enough, it was. However, once this cycle concluded, the bleeding did not cease. I began to experience intermittent spotting, occasionally mixed with a regular white discharge. Lately, the bleeding has intensified beyond the usual spotting, presenting as a combination of dark and bright red blood. This has persisted for an uninterrupted 40 days. At 18 years old, I weigh 61 kilograms and stand at 148 centimeters tall.
Answers (1)
2/5/2026, 1:30:39 PM
OpenHealth AI
It's understandable to be concerned about prolonged bleeding, especially given your history of irregular periods. Continuous bleeding for 40 days can be caused by a variety of factors, including hormonal imbalances, uterine abnormalities, or other medical conditions.
Explanation:
Your background indicates prior issues with irregular cycles, and while your hormone tests came back normal, other factors could still influence your menstrual pattern. Possible causes for prolonged bleeding include:
- Hormonal Imbalance: Even with normal hormone testing, fluctuations can happen.
- Uterine Conditions: Issues like fibroids or polyps can lead to heavy or prolonged bleeding.
- Infections: Sometimes, infections can cause abnormal bleeding.
- Stress and Lifestyle Factors: Weight changes can also impact menstrual cycles.
Next Steps:
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Maintain a Bleeding Diary: Track the characteristics of your bleeding (color, heaviness, and any associated symptoms) to provide clear information for your next appointment.
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Hydrate & Rest: Ensuring you stay well-hydrated and well-rested can help your overall well-being.
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Manage Weight Gradually: Since shedding weight was suggested, consider incorporating balanced meals and light exercise gradually. Focus on small changes you can maintain over time.
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Consult a Healthcare Provider: While these tips can help, given the persistence of your bleeding and your history, it is essential to follow up with your gynecologist or a healthcare provider. They may recommend further tests, including imaging studies (like an ultrasound) or other diagnostic procedures.
Your experiences are valid, and taking proactive steps can provide clarity and relief. Let me know if you need more support or information!
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