A change in your period can raise questions about what is normal for you. Heavy bleeding, unpredictable cycles or cramps that interfere with daily activities are reasons to talk with a gynecologist.
You do not have to wait until your next annual visit to bring up a concern.
Tell your provider about:
Seek emergency care for very heavy bleeding accompanied by dizziness, lightheadedness, chest pain or shortness of breath.
There are several possible explanations, including changes in ovulation, fibroids, polyps, thyroid conditions and certain medicines. Pregnancy-related bleeding can also be mistaken for a period. The bleeding pattern alone cannot establish the cause.
Tell your provider if pregnancy is possible and about any changes to your medications or birth control.
The discussion usually starts with your bleeding pattern, medical history and symptoms. Depending on the situation, your provider may recommend an exam, pregnancy testing, blood tests or pelvic ultrasound. Sometimes a sample of the uterine lining is needed to investigate abnormal bleeding.
Heavy bleeding can lead to iron deficiency anemia. Mention fatigue or shortness of breath along with changes in your period.
Treatment depends on the cause and your priorities, including plans for pregnancy. Options may include medicines to reduce bleeding or pain, hormonal treatment, or a procedure when appropriate.
Bring a list of medications and any previous test results. Ask what the proposed treatment should improve, what side effects to watch for and when to follow up if symptoms continue.
A record can help, but you do not need a complete diary to make an appointment. Note bleeding dates, flow, pain and any spotting between periods. Do not delay care for heavy bleeding or concerning symptoms while collecting information.
Some hormonal birth control methods can reduce bleeding or cramps. Whether a method is suitable depends on the cause of your symptoms, your health history and your pregnancy plans.
Yes. Contact a healthcare professional about any bleeding after menopause, even light spotting. It needs evaluation rather than being treated as a return of your period.
