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Dr Basu
Dr Basu, Experienced Specialist
Category: OB GYN
Satisfied Customers: 35155
Experience:  MD
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I have been bleeding for 8 months straight with cramping im

Customer Question

I have been bleeding for 8 months straight with cramping im not pregnant and im 18 years old
JA: Have you been keeping a personal medical record?
Customer: In a way
JA: Anything else in your medical history you think the Doctor should know?
Customer: i am anemic and have asthma and im on the contraceptive pill which i have been since 14 and have had no problems
Submitted: 9 days ago.
Category: OB GYN
Expert:  Dr Basu replied 9 days ago.

Hi there,
I am an experienced Medical Specialist.
I am here to address your concerns and provide great service.

Your hormones are not in balance.

Excessive androgen level will disrupt estrogen peak and there will not be any ovulation.

That causes progesterone deficiency.

Thyroid hormone deficiency, estrogen, progesterone, prolactin, 17 OHP, testosterone levels should be checked by blood tests.

Pelvic inflammatory disease also can cause infertility and irregular menses.

Other possibilities can be uterus fibroid, adenomyosis, endometriosis, cervical polyps, ectropion, endometrial hyperplasia, coagulation disorders.

These causes should be checked with pelvic ultrasound.

Combination oral contraceptive pill containing ethinyl estradiol and levonorgestrel will help to regulate cycle.

Naproxen 500 mg twice daily for 5 days can be used to stop the light bleeding.

Polycystic Ovarian syndrome is also treated with non hormonal options like Metformin which helps you to lose weight and lower insulin resistance, thereby improving hormone balance.

Since this has been going on for a while, you need blood tests, ultrasound and consultation with gynecologist.

Polycystic ovarian syndrome ( PCOS) is the likely diagnosis and treatment as above after confirmation.

Weight loss, high fiber diet, regular exercise will also help.

Continuous heavy bleeding can be stopped by prescribing Norethindrone 5 mg tablet twice daily for 5-10 days.

Customer: replied 9 days ago.
I went to a doctor about 8 months ago which they referred me to a gynaecologist which i havent been called for yet, i also have had blood tests for thyroid problems and urine tests for infections. I have been on the pill for years and never had any problems until it suddenly came on and i get pain in my legs pelvis and back is there anyway you could narrow it down?
Expert:  Dr Basu replied 9 days ago.

Most likely PCOS as the common explanation.

Your hormone level fluctuates with stress, weight.

So the pill needs to be changed if not working as well usually with higher estrogen content.