Hello dear See probably the reason is alterations in hormonal changes only. Iam suggesting some precautions for better clarification Serum ferritin Serum TSH Serum troponin Lft Rft Serum prolactin Serum progesterone Serum LDH Please share the result with gynaecologist in person for better clarity Please donot take any medication without consulting the concerned physician Regards
Based on what you’re experiencing, it does sound like stress could indeed be playing a role in the irregularities of your menstrual cycle. Psychological stress is known to affect the hypothalamus—the part of the brain that helps regulate hormones—and can disrupt the regularity of menstruation. However, the ongoing bleeding you’ve described could also indicate other underlying issues that need to be checked out. This kind of bleeding, especially when it’s prolonged and with clots, sometimes warrants a closer examination. While it’s reassuring that your bleeding isn’t heavy and you’re not experiencing severe symptoms, it would still be wise to investigate it further to rule out other causes like polyps, fibroids, or endometrial hyperplasia. Regarding what tests are usually recommended, a gynecologist might start with a pelvic ultrasound to visualize the uterus and ovaries. Blood tests could include a complete blood count (CBC) to check for anemia, especially given the potential for iron deficiency with prolonged bleeding. Hormone panels often include levels of thyroid hormones, prolactin, and sex hormones like estrogen and progesterone to determine if there is a hormonal imbalance. Testing for vitamin D levels could also be useful if you’re suspecting a deficiency, particularly as you mentioned fatigue and low mood. Overall, it’s wise to see your gynecologist soon; they will provide a more personalized evaluation and treatment plan based on your specific symptoms and test results. Keep an eye out for any worsening of symptoms, and should you start experiencing heavier bleeding or symptoms like dizziness, reach out for medical attention promptly.
Investigation:
CBC Serum β-hCG TSH Serum Prolactin LH, FSH Vitamin D Ferritin Pelvic ultrasound
Tab Tranexamic Acid 500 mg → 1 tablet twice daily for 3–5 days (to reduce bleeding)
Tab Ibuprofen 400 mg → 1 tablet after food, if pain/cramps (max 2–3/day)
Tab Vitamin D3 60,000 IU → Once weekly × 6–8 weeks (if deficient)
Tab Iron + Folic Acid → Once daily if Hb or ferritin low
Please consult a gynecologist with reports for tailored hormonal treatment.
