I am 46, and I got periods three times this month. Please help.

Question

Hi doctor,

I am 46 years old female. I got periods three times this month. This happens for the first time in my menstrual history. I have three children (two normal vaginal birth and one is surgery). Kindly help with my issue.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern. I want some more details before guiding you in treatment.

1) Was the bleeding heavy all three times?

2) What were the dates of the three bleeding episodes?

3) Are you taking any medication?

4) Did you take your COVID vaccine this month or in the previous month?

5) Are you dieting?

6) Have you lost or gained any weight?

7) Do you experience any additional stress?

8) Do you have any other symptoms like hair fall or increased facial hair?

Kindly revert with these answers.

Regards.

Answer 2

Hello,

Welcome back to icliniq.com.

Thank you for reverting. Your complaints may be due to

1) Perimenopausal period, three to five years before attaining menopause, your periods become irregular due to hormonal imbalance. In this condition, periods may become very mild or occur several times a month, which is a usual change.

2) Antibiotics can also cause irregular periods or intermittent bleeding. So, my advice would be to wait for the next cycle and not to stress. If your bleeding is heavy, I suggest you take tablet Pause-MF (Tranexamic acid and Mefenamic acid). If bleeding occurs again within 10 to 15 days, kindly get a scan done and hemoglobin done.

Regards.