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Hormonal problem 22 years old
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Gynecology & Pregnancy Care
Question #19269
6 hours ago
12

Hormonal problem 22 years old - #19269

Nour

Hello, I am a 21-year-old female. My menstrual cycle stopped for about two months, and then I started having continuous vaginal bleeding that has lasted for more than two weeks. The blood color is dark (brownish to dark red), and I sometimes notice small blood clots, but they are not large. The bleeding is not very heavy, and I do not feel dizziness, fainting, or severe weakness. I have been under severe psychological stress, including anxiety, panic attacks, emotional exhaustion, and sadness during the past months. I also suspect that I may have a vitamin D deficiency, as I experience fatigue and low mood. I would like to know: Is this most likely due to hormonal imbalance caused by stress? Should I be concerned about this bleeding pattern? What tests are usually recommended (blood tests, ultrasound, hormones)? I am planning to see a gynecologist soon, but I would appreciate professional advice in the meantime. Thank you very much.

Age: 22
Chronic illnesses: None
Nourelelbeb
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
2 hours ago
5

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.

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