Should I Be Alarmed by This Bruise?
I'm a 25-year-old transgender man who has been on testosterone therapy for several years, and my hormone levels are stable. I also underwent a double mastectomy, which means I identify as male. Currently, I’m taking lamotrigine, quetiapine, and sertraline. Weighing around 125 pounds at a height of 5'1", I occasionally enjoy a drink but otherwise do not partake in any substances. Historically, my mean platelet volume (MPV) has been low, as I can see from my previous complete blood counts (CBCs) available in my health record, with the latest one dated May 29, 2025. I've experienced random bruises before, but this particular one seems to be larger and more unusual than those I've had in the past. The irregular shape and mottled appearance are what I find disconcerting. Additionally, I’ve been suffering from significant night sweats for quite some time. I know this is an issue I should mention to my doctor, but given the odd bruising I discovered a couple of days ago, I can’t help but worry about potential underlying blood disorders. Does this bruise appear unusual, or do you think I might be overreacting? My history of severe health anxiety makes me aware that my concerns may not align with those of others.
Answers (1)
2/18/2026, 4:00:40 AM
OpenHealth AI
The presence of a larger, irregularly shaped bruise along with your history of low mean platelet volume (MPV) and ongoing night sweats does warrant attention, but it’s important to consider your overall context and potential causes.
Bruises can result from a variety of factors, including minor injuries, but when they are unusually large, have an unusual shape, or occur without obvious trauma, they can raise concerns about conditions that affect blood clotting or circulation. Your low MPV and experience of night sweats could contribute to this worry, as they may indicate underlying issues that affect blood cells or overall health.
Here's what you can do:
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Monitor Your Symptoms: Keep a close eye on the bruise—note any changes in size, color, or shape. Pay attention to any increase in frequency of bruising, or if you're experiencing any other unusual symptoms (e.g., frequent bleeding, fatigue, or significant changes in health).
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Hydration and Rest: Ensure you're staying hydrated and getting adequate rest. This can support overall health and recovery.
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Avoid Blood Thinners: If you're taking any over-the-counter medications or supplements that could thin your blood (e.g., aspirin, certain herbal supplements), consider pausing them until you can consult your healthcare provider for guidance.
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Document Your Concerns: Keep a record of your bruising incidents, night sweats, and any other symptoms. This will be useful when discussing your health with a medical professional.
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Consult Healthcare Provider: Given your history and the unusual nature of this bruise, it’s crucial to reach out to your healthcare provider for a thorough evaluation. They may want to run additional tests to assess your blood levels, including platelets and any possible bleeding disorders, considering your symptoms of night sweats as well.
Feeling anxious about health concerns is completely valid, especially with your background. Focus on taking these measured steps, and remember that addressing your symptoms early can lead to better outcomes. If you want further clarification or support, feel free to ask.
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