Mood swings, dizziness, fatigue with heavy vaginal bleeding.

Resolved question:
I have had vaginal bleeding twice in 4 weeks, the second time, lasting over two weeks. With this came severe mood swings, dizziness, and fatigue. I take the birth control pill to reduce my periods to once every 3 months, and neither periods were planned. I have tried to call my gynecologist and have been to the ER, but the former refused to see me on short notice, and the latter gave me a prescription for tranexamic acid to stop the bleeding, but could not provide answers or reassurance as to the cause. The bleeding is slowly stopping, but I am concerned that what happened will affect my ability to reproduce and need confirmation one way or the other. The basic bloodwork and urine tests administered at the hospital came up negative, and the only family history of something like this happening occurred right before my aunt went through menopause.

I am 32 years old, relatively healthy otherwise, and am on the following medications: modafinil, valtrex, linessa, and I take hydroxyzine to help me sleep.

I would really appreciate a gynecologist's answer on this matter.



Submitted: 4 Days
Category: OBGYN

Expert:  Dr. Aarti Vazirani replied 4 Days.

Hello,
Thanks for posting your query at DoctorSpring.com
From what I gather, you are still on the birth control, and should not have had any period at all, right ?
SO you are having breakthrough bleeding.
How long have you been taking these pills, and can you elaborate on how long you have been taking them this time without the pill free period ?
Another thing - most of the medications you mention, can interact with the pill and cause irregular cycles.
You would need an internal exam by an OB - GYN, a Pap smear and a pelvic ultrasound scan in addition to regular blood work.
A fibroid, polyp, cervical lesion, ovarian cyst - need to be ruled out.
All the best
Please feel free to discuss further.
Regards.

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