Hormonal problem 22 years old - #19269
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.
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Doctors’ responses
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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