Persistent Menstrual Issue
I’m a 28-year-old woman, measuring 5'5" and weighing 207 pounds. I smoke but do not consume alcohol. I'm currently prescribed 20mg of Lexapro and I'm not on any contraception. I have a history of polycystic ovary syndrome (PCOS) and a recent pelvic ultrasound revealed one small fibroid and a cyst, neither of which my gynecologist was worried about. My menstrual cycles have always been unpredictable, but after having a period just a week ago, I now find myself experiencing it again. While I'm feeling generally well, it has become quite frustrating. I do have some Depo-Provera at home that I could use to potentially halt the bleeding. The situation isn't constant; it consists of intermittent dark brown spots accompanied by occasional bright red flow, which adds to my annoyance.
Answers (1)
2/17/2026, 2:50:37 AM
OpenHealth AI
It sounds like you're experiencing a frustrating situation with your menstrual cycle, particularly with the irregular bleeding following your recent period. Given your history with polycystic ovary syndrome (PCOS) and the recent ultrasound findings, it's understandable that this fluctuation can be concerning.
Key Points:
- Irregular bleeding is common for those with PCOS.
- Spotting can indicate hormonal imbalances or changes, but may not always require intervention.
- Using Depo-Provera could influence your current symptoms, so this should be considered carefully.
Explanation: PCOS can lead to irregular menstrual cycles due to hormonal imbalances, which may cause varying flow and spotting patterns. The presence of a small fibroid and a cyst, as mentioned by your gynecologist, may also contribute to these changes, but they are not currently concerning. Now, experiencing spotting or having a period shortly after another can be annoying, but many women with PCOS face similar issues.
Using Detpo-Provera may help regulate your bleeding, but it's important to note that it can cause its own side effects and may not fully stop the cycle immediately. Since you’ve mentioned that you feel generally well and are not experiencing severe symptoms such as heavy bleeding, pain, or dizziness, you may not need to take immediate action.
Next Steps:
-
Monitor Your Cycle: Keep a diary of your menstrual activity for a couple of weeks, noting the days of spotting and any other symptoms. This can provide valuable insights during future discussions with your gynecologist.
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Evaluate Use of Depo-Provera: While you have Depo-Provera available, weigh the pros and cons before using it. If you decide to use it, note any changes in your symptoms and expect it may take some time for your body to adjust.
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Lifestyle Considerations: Maintain a balanced diet, ensure you’re getting regular exercise, and consider reducing smoking as it can impact hormonal balance and general health.
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Follow-Up: If the irregular bleeding continues or worsens, consider scheduling a follow-up with your gynecologist. This would be beneficial to discuss your management options comprehensively.
Please remember that while irregular bleeding can be frustrating, it is often manageable, especially with monitoring and good communication with your healthcare provider. If you have any sudden changes in severity or new symptoms arise, please reassess the situation.
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