Early and Prolonged period - #9686

Hi Seerat, given the prolonged bleeding and that Nexamic hasn’t stopped it, it’s important not to delay seeking medical attention. I recommend you see a gynecologist as soon as possible to identify the cause of the irregular bleeding. 1. Take a pregnancy test (UPT) to rule out pregnancy-related issues. 2. Consult a gynecologist immediately to get a proper diagnosis, as the bleeding could be due to hormonal imbalances or other conditions. 3. Tests like ultrasound or hormonal panels may be necessary to determine the underlying issue. Delaying treatment could lead to further complications, so please do not wait and seek professional advice at the earliest.

Hello Seerat, Patient ID: #9686 Name: Seerat Age: 26 years Sex: Female Chief Complaints: Irregular menstrual bleeding Prolonged periods for the past 15 days History of Present Illness: The patient reports a previously regular menstrual cycle (28–29 days) with a normal 5-day duration of flow. Last month, the period began on time but was limited to spotting for the first two days. Subsequently, she experienced another episode of bleeding just 16 days later, which has now lasted for 15 consecutive days with a normal flow. The patient has taken Nexamic 500 mg (tranexamic acid) for 5 days with no improvement. Past Medical History: No known chronic illnesses No history of similar menstrual irregularities reported previously Personal History: No use of hormonal contraception or intrauterine devices mentioned No recent stress, travel, or weight changes reported Family History: Not specified Provisional Diagnosis: Abnormal Uterine Bleeding (AUB) – likely ovulatory dysfunction or hormonal imbalance Rule out: Polycystic Ovary Syndrome (PCOS), Endometrial hyperplasia, Thyroid dysfunction Plan of Management: Investigations: Complete Blood Count (CBC) – to assess for anemia Pelvic ultrasound – to evaluate uterine lining and rule out fibroids/polyps Thyroid function tests (T3, T4, TSH) Hormonal profile: LH, FSH, Estradiol, Progesterone Pregnancy test (to rule out incomplete miscarriage or ectopic pregnancy, if sexually active) Medical Management (based on diagnosis): Counseling: Prolonged bleeding can lead to anemia and weakness; prompt evaluation is necessary Hormonal imbalance is a common cause but must be confirmed with appropriate tests Avoid self-medication and monitor for other symptoms like clots, pain, or dizziness * Follow up soon with the reports* Dr Shayeque Reza MD 9800280276