Pelvic Discomfort and Bleeding Issues
At 26 years of age, I am seeking some clarity regarding my health concerns. **Personal Information:** - **Gender:** Female - **Height:** 5 feet 3 inches - **Weight:** 135 pounds - **Ethnicity:** Caucasian **Duration of Issues:** This situation has persisted for approximately five months. **Symptoms Experienced:** The pain is localized in the pelvic area, specifically the uterus. **Relevant Medical History:** - Diagnosed with POTS (Postural Orthostatic Tachycardia Syndrome) - History of uterine inversion - Obstetric history: G2P1 (2 pregnancies, 1 live birth) **Current Medication:** Taking Fludricortisone at a dosage of 0.1 mg. **Health Concerns:** I am six months postpartum from a difficult delivery that included a uterine inversion and have been experiencing ongoing irregular bleeding since reinitiating birth control. Notably, this was not an issue during my previous use of birth control prior to pregnancy. Additionally, I have encountered discomfort during and following intercourse. Recently, I have been experiencing a bleeding episode that has lasted for eleven days, which started post-intercourse. The bleeding is light, appearing as dark red and somewhat stringy. I am currently using Annovera and removed the ring four days ago. Alongside the bleeding, I am dealing with a persistent sense of pelvic ache; it is not severe nor confined to one side but manifests daily as a feeling of pressure. I have confirmed that I am not pregnant. This discomfort seems to have originated after my delivery and has remained consistent since then. My OBGYN has scheduled an appointment for next week, but I am uncertain whether these symptoms are linked to my prior uterine inversion.
Answers (1)
2/13/2026, 5:50:38 PM
OpenHealth AI
I'm glad you're reaching out for clarity regarding your pelvic discomfort and bleeding issues. Your symptoms, particularly following a challenging delivery, warrant careful attention, and it's understandable to feel uncertain about them.
Main Points:
- Ongoing pelvic discomfort and irregular bleeding after childbirth can be related to hormonal changes, birth control side effects, or and possible structural considerations from the uterine inversion.
- The symptoms you describe, such as bleeding post-intercourse and a persistent feeling of pressure, should be monitored, especially as you have a scheduled appointment with your OBGYN next week.
Explanation:
The changes in your menstrual cycle and the persistent pelvic ache could be influenced by several factors, including hormonal adjustments after pregnancy and the return to birth control. It's common for women to experience irregular bleeding and discomfort in the postpartum period, especially following complicated deliveries like an uterine inversion. This condition can sometimes lead to scar tissue formation or pelvic floor dysfunction, which may contribute to pain or pressure sensations.
The nature of the bleeding—dark red and stringy—could indicate old blood or tissue, which can be a normal post-birth occurrence, but it’s essential to keep track of the patterns and any associated symptoms.
Next Steps:
-
Symptom Diary: Before your appointment, consider keeping a brief log of your symptoms. Note the timing, severity of the pain, the characteristics of the bleeding, and any triggers (like intercourse). This information can help your doctor understand your condition better.
-
Maintain Hydration: Ensure you are drinking plenty of fluids, especially if you are experiencing any bleeding. Staying hydrated is essential for your overall health.
-
Avoid Irritants: Try to avoid any activities that may exacerbate your symptoms, such as intense physical activity or intercourse, until you have consulted further with your OBGYN.
-
Medication Tracking: Monitor how your body responds to Annovera, and discuss any concerns about side effects, particularly bleeding irregularities or pain, with your doctor.
-
Follow Up: If you experience worsening symptoms like increased bleeding, severe pain, or fever before your scheduled appointment, it's important to seek immediate medical attention.
It's good that you have an appointment scheduled, as your OBGYN will provide further assessment and potential treatment options tailored to your situation. In the meantime, remember you're not alone, and your concerns are valid—keeping a close communication with your healthcare provider is key. Let me know if you have any additional questions!
Related Questions
Seeking Advice on Knee Pain After Injury
Hello everyone, I’m reaching out for some guidance. I’m a 20-year-old female residing in the UK. I was prescribed co-codamol, naproxen, sertraline, and contraceptive pills; I don’t use illegal drugs but I do vape occasionally. In 2023, I was involved in a moped accident that resulted in a broken femur. Subsequently, I had a metal rod and screws surgically implanted in my femur and knee. Since the accident, I have experienced persistent pain in my knee, along with a crackling sound in the area where the screws are located. The swelling has been significant, approximately three times larger than it should be. Despite numerous visits to the doctor where I was prescribed co-codamol for pain relief and naproxen for inflammation, neither has proven effective in alleviating my symptoms. I have undergone several X-rays and MRI scans to assess whether there are issues with the metal implants, but the results have been inconclusive. After a recent MRI, the medical team suggested it could possibly be a hematoma. However, since my accident occurred in 2023, they believe it may be bursitis instead. From my research, I’ve learned that bursitis typically doesn’t cause crackling in the joints, a symptom I never had prior to my injury, leading me to question the accuracy of this diagnosis. The medical professionals, including the surgeon who performed the operation, seem somewhat reluctant to provide more assistance. Given the timeframe, is it plausible for bursitis to occur without the characteristic crackling? Additionally, I’m curious about potential treatments if the anti-inflammatory medications fail to provide relief. I’m apprehensive about undergoing further surgery, so I’m hoping for a solution like aspiration, although I’ve heard that such issues can recur.
Constant Ear Pressure: Seeking Relief
I am a 30-year-old female with a medical history that includes obesity, allergies, and a perforated left eardrum from childhood ear tube treatments due to frequent infections. My current medications consist of Singulair 10 mg, Claritin 10 mg, Flonase nasal spray, oral contraceptives, a multivitamin, and phentermine at a dose of 37.5 mg (I have only one week remaining on this medication). Lately, I’ve been using saline nasal spray once or twice daily to help with dryness in my nose. For the past couple of months, I have relocated from a humid, warm climate to a cooler, drier one, and I am experiencing persistent nasal congestion and a runny nose. Although I am unable to perform the typical nose-holding maneuver to equalize pressure in my left ear (due to the perforation), I can do this with my right ear. Recently, however, I've noticed that I can create some sort of pressure movement in my left ear through swallowing, deep breaths, or by adjusting my tongue in my mouth without actually swallowing, along with breathing in and out through my nose. This sensation sometimes occurs even when I’m jogging. While I don’t experience pain, there is an occasional feeling of fullness which is extremely frustrating. I’m eager for suggestions on how to alleviate this issue as I await an appointment with my primary care physician. I also avoid the use of Q-tips and ensure that water does not enter my left ear.
Understanding Colposcopy Findings
A 32-year-old female with a history of Crohn’s disease currently on immunosuppressive therapy seeks clarification on her recent medical results, as her physician is unavailable, leading to her heightened anxiety. 1. The biopsy taken from the cervix at 4 o'clock revealed a high-grade squamous intraepithelial lesion, classified as CIN 3. The immunohistochemical staining for p16 supports this diagnosis, showing a strong positive result. 2. The curettage of the endocervix showed small fragments indicative of a high-grade squamous intraepithelial lesion as well. Additionally, there were separate fragments of normal, benign endocervical tissue present, with the p16 immunostain again corroborating the findings for the lesion.
Conflicting Surgical Opinions on My Knee Injury: Seeking Guidance
I’m reaching out for advice as I find myself in a dilemma involving two surgeons who disagree on whether I should undergo ACL or meniscus surgery. A bit about me: I’m a 34-year-old man, standing at 6 feet 3 inches and weighing 180 pounds. In my younger years, I was a collegiate track athlete specializing in hurdles. After my athletic career, I transitioned to working as a chef, which means I'm on my feet for long hours. In 2022, I began experiencing intense, pinching pain deep within my right knee. An MRI revealed that I had a ganglion cyst attached to my ACL. After having it surgically removed, I felt significantly better following about three months of rehabilitation. Unfortunately, the relief was short-lived, as I started feeling pain again later that year. Another MRI indicated that the cyst had returned, now larger at approximately 18x17x21mm. My doctor recommended the same surgery, which I underwent last August. He mentioned that he had been cautious during the first surgery to avoid damaging the tendon but was more thorough in the second procedure. Initially, I felt fantastic afterward. Regrettably, within two months, the pain resurfaced. I had an MRI this past Monday, which revealed that the cyst had reappeared and was roughly the same size as before. The sample from the prior cyst biopsy showed no harmful or cancerous cells. During a recent consultation with my doctor, he informed me that the cyst is situated within my tendon. This location is the reason it continues to reemerge and suggests that further excision may not be effective. His only suggestion now is to proceed with a complete ACL reconstruction to eliminate the cyst from the tendon. Seeking a second opinion, I visited The Stone Clinic in San Francisco, where another diagnosis pointed to a posterior medial meniscus tear as the underlying issue contributing to my condition. However, I’ve consulted with three other radiologists who reviewed my MRI and did not find any signs of a meniscus tear. The image from the second clinic indicates the presence of the meniscus tear, but the other specialists insisted that there’s nothing unusual in the scans. This issue is quite pressing because the ACL surgery is covered by my insurance, while the meniscus surgery suggested by the clinic would be a costly $10,000 out of pocket. I would appreciate any insights or experiences you may have regarding this situation. Additionally, if anyone is familiar with Dr. Kevin Stone from The Stone Clinic, I would love to hear your thoughts.
Shoulder Concerns
I'm a 23-year-old female, and I suddenly began experiencing discomfort in my left shoulder last night. I haven't engaged in any unusual activities or lifted anything heavy. However, this morning, while still feeling pain, I observed that my left shoulder appears noticeably lower than my right; it even gives the impression that my left arm is longer. This is unusual for me. I'm confident that my shoulder is not dislocated, as that would likely be accompanied by severe pain, and I can still move my shoulder and arm without issues. Should I expect this to improve on its own, or would it be wise to seek medical advice?