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 usually don't have bleeding during ovulation, only some brown discharge. Do I need to see a doctor?Duration of the current illness and the time it has been ongoing: One week
Doctor's answer:
Medical Analysis: Hello, it is recommended to undergo relevant medical examinations at the hospital. The occurrence of minimal bleeding between two menstrual periods is medically referred to as "breakthrough bleeding." This condition occasionally happens and is nothing to be overly concerned about, as it is often caused by a slight decline in estrogen levels during the mid-cycle. However, if the bleeding persists for several months and the amount increases with each episode, it is essential to consult a doctor.Psychological Preparation: The doctor will inquire about your contraceptive history. For women taking birth control pills, breakthrough bleeding is common when they first start taking the medication or occasionally miss doses after long-term use. 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 (PID) and infertility.