Patient's question:
Description of the condition My period ended on the 14th of this month, but starting from the 27th, I've been bleeding again for almost a week, accompanied by lower back pain and abdominal pain. I used to have no bleeding during ovulation, only some brown discharge. Do I need to see a doctor?Duration of the current illness and symptoms: One week
Doctor's answer:
Medical Analysis: Hello, it is recommended to visit the hospital for relevant examinations. The occurrence of extremely small amounts of bleeding between two menstrual periods is medically known as "breakthrough bleeding." This condition occasionally occurs without any cause for alarm, as it is often due to a slight decline in estrogen levels in the middle of the month. However, if the bleeding persists for several months and the amount increases with each episode, it is essential to consult a doctor.Mental Preparation: The doctor will inquire about your contraceptive history. For women taking birth control pills, breakthrough bleeding may occur shortly after starting the medication or occasionally when pills are missed. If this does not apply to you, the doctor may check for polyps. If you have recently had a new sexual partner, it is advisable to get tested for sexually transmitted infections (STIs). Some STIs, such as chlamydia, typically show no obvious symptoms but can cause breakthrough bleeding. Chlamydia can also lead to pelvic inflammatory disease and infertility.