Asked for Female | 25 Years

Why am I experiencing heavy bleeding on Evra patch?

Patient's Query

Question for OBGYN or anyone in women’s health: I am 25F and have been using the Evra estrogen+progesterone patch (Canadian version) since February 2023 (almost 3 years) due to abnormally heavy periods leading to anemia. It has essentially stopped my period. For the last year only, since April, my “periods” (or breakthrough bleeding) have become more regular, occurring every 3 months or so. I usually will remove the patch when it starts to allow myself to shed any excess lining. But more recently I have been shedding extremely thick clots of coagulated blood/lining, multiple times an hour, each clot about the size of the palm of my hand. This coupled with EXTREMELY heavy bleeding. I use the largest and thickest available overnight pads throughout the day and night, and each one is soaked through in about an hour, along with 2-3 large jelly-like clots sitting on top of the pad which I have to pick up manually and dispose of in the toilet. I can feel the clots passing most often when moving from sitting to standing, as it is accompanied by a wave of abdominal pain and then the uncomfortable sensation of passing a large mass of tissue. I went to the ER the first time this started happening as I was worried about the blood loss. They instructed me to take iron supplements (which I already do) and told me it was normal on the patch - but it isn’t typical for me. It’s been impossible to find a doctor available nearby so I was hoping to get some more insight into why this is suddenly starting to happen, and whether it’s safe for me to continue on the Evra patch. Thank you so much for any help.

Gynaecology

Answered by Dr. Swapna Chekuri

Some breakthrough bleeding can be normal on the patch, the sudden increase in clot size and frequency is definitely concerning. It's important to rule out any underlying issues causing this. In fact, such heavy bleeding and clotting could be due to changes in your hormonal balance or even conditions like fibroids. I recommend seeking a gynecologist for a thorough evaluation. In the meantime, continue taking your iron supplements and consider using a menstrual cup for better monitoring.

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Dr. Swapna Chekuri

Gynecologist

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Questions & Answers on "Gynaecology" (5026)

My period is 20 days late. I have never missed a period. I had a late bloody discharge gassy nauseous headache but pregnancy test are showing negative. I also have an IUD I’ve had it for about a year and a half now and my cycle always stays the same.

Female | 18

When your menstrual period is 20 days late, and you have such symptoms as gaspiness, nauseousness, headache, haemorrhagic pastula – it’s high time yo seek a gynecologist. The negative pregnancy test result together with the IUD you have may signify that there is an underlying medical condition which needs to be treated. You should visit a gynecologist specialist to receive the right treatment and get the correct diagnosis.

Answered on 23rd May '24

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Suffering from nausea With leucorrhoea With pain during urination

Female | 22

These signs might indicate a urinary tract infection or another reproductive health problem, and an expert can help perform accurate diagnosis with the right treatment plan.

Answered on 23rd May '24

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Am girl after sexual thoughts my vagina release discharge toh kya yeh dangerous toh nai or yeh q hota jb zyda thoughts hoty tab zyda discharge hota jb thory thought hoty tb kaam krta.

Female | 22

It's completely normal for your body to produce more discharge during times of heightened arousal or sexual thoughts. This fluid is a natural response that helps keep vaginal tissue healthy and lubricated. Variations in discharge can occur based on your emotions and thoughts. Generally, unless there's a change in color, odor, or discomfort, it's not a cause for concern. However, if you notice any unusual symptoms or if it worries you, it's always a good idea to consult with a gynecologist for reassurance and guidance.

Answered on 5th June '25

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Miscarriage k lia misoprostol Khai Hy us k bad blood spot hwa

Female | 50

It is best to visit a gynecologist who specializes in reproductive health to properly diagnose and treat any potential complications.

Answered on 23rd May '24

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Why am I having abdominal pain and dull discharge

Female | 19

Tummy aches and weird fluids might mean a few things. One: There could be an infection down there. You may feel pain when peeing, cramps in your lower belly, and a stinky discharge. This needs medical attention. A gynecologist can look at you, give you medicine to fight the infection, and help you feel better.

Answered on 11th Sept '24

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i took azithromycin for chlamydia 2 weeks ago.. I had sex last night and started bleeding in between my next period. What caused the bleeding?

Female | 24

The bleeding after taking the medicine for the germ may have a few causes. Sometimes, sex can irritate or tear the cervix or vagina lining. This might happen when the place is delicate from the recent sickness and treatment. This can make some spotting or light bleeding happen. It is also possible the germ made swelling in the cervix or vagina. This makes it easier to bleed during or after sex. If the bleeding keeps happening, it is wise to see your gynecologist to make sure all is well.

Answered on 23rd May '24

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I am a 28-year-old female, and for the past few weeks, I've been experiencing irregular periods along with a feeling of bloating and mild abdominal pain. I've also noticed some unusual fatigue and mood swings. I haven't made any significant changes to my diet or lifestyle. Should I be concerned about these symptoms, and what steps should I take next?

Female | 28

You are going through an ordeal with irregular periods, bloating, abdominal pain, fatigue, and mood swings. These symptoms could be a result of hormonal imbalances, stress, thyroid issues, or even polycystic ovary syndrome (PCOS). Keeping a record of these symptoms is vital and having a check-up with a gynecologist who can help diagnose the underlying cause is a must.

Answered on 8th Aug '24

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Hi I'm Deepa my last menstrual cycle started on August 10th and again cycle started on September 1st so is there any hormonal imbalance.

Female | 30

The reason for irregular periods could be hormonal imbalance. Some common symptoms of the hormonal imbalance are irregular periods, heavy or light bleeding, and mood swings. Stress, diet, and health conditions can cause these problems. The best way to deal with it is to consult a gynecologist for advice on managing hormonal balance.

Answered on 3rd Sept '24

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I have bumps on my vagina

Female | 20

Bumps on vagina can be caused by many things. Common causes include razor burn, ingrown hairs, and pimples. They can also be caused by sexually transmitted infections like herpes or genital warts.. . ..If you notice any bumps, it's important to have them checked by a doctor. They can provide a proper diagnosis and treatment plan. In the meantime, avoid popping or picking at the BUMPS, and practice safe sex. MEDICAL advice should always be sought if you’re concerned about your HEALTH.

Answered on 23rd May '24

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Mam mere periods 12 ko aane thae nhi aaye fer mne 21 ko mtp kit le li aur 22 ko mere periods aa gye clotting k saath 5 din normal bleeding k saath ab m pregnant hu ya nhi y kse confirm kru

Female | 21

One cannot rule out the possibility of being pregnant even when the menstrual cycle has already started and a medical abortion kit has been utilized. Pregnancy disclosure confirmation is achieved by visiting a gynecologist and undergoing the necessary pregnancy test. For any additional leads, it is appropriate to get in touch with gynecologist

Answered on 23rd May '24

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Mam mere do din se spotting si ho Rahi hai

Female | 32

Spotting can occur for several reasons, including hormonal changes, ovulation, or even stress. It may not always indicate a serious issue, especially if it’s light and not accompanied by pain or heavy bleeding. However, if this continues or if you experience other symptoms like severe cramps or unusual discharge, it’s best to consult a gynecologist. They can provide a proper examination and ensure everything is okay.

Answered on 15th Apr '25

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I had unprotected sex on April 10th and took unwanted 72 later I got light bleeding or spotting on 22,23,24th and I took urine pregnancy test on 7th may and it’s negative so my next period should come on may 22nd but I didn’t get my periods I’m feeling worried is it because of pregnancy??? And I’m feeling like period blood smell but no period and also had other symptoms in this month like constipation for 1-2 days ,diaharea for 1-2 days , bloating, pelvic pain and abdomen became hard. Is it coz of pregnancy or any other health issue please help me reply me urgently

Female | 28

Taking emergency contraception can make you have some light bleeding which might be the cause for the spotting you experienced. On the other hand, a negative pregnancy test is great news. The symptoms you’re having could be from hormone changes, stress or other health problems. If your period doesn’t come on time then it would be best if you went to see a gynecologist so that they can check if there’s anything wrong with you internally.

Answered on 15th Aug '24

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Hello doctor I have a problem of pain just right below the breast sometimes can you tell me what is the problem

Female | 21

Pain just below the breast could be due to various reasons like muscle strain, acid reflux, or even gallbladder issues. It’s important not to ignore this pain, especially if it’s recurring or severe. I would strongly advise you to visit a general physician or a gastroenterologist to get a proper diagnosis and treatment.

Answered on 5th Aug '24

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Hello I am a 15 year old Girl, I haven’t got my period in over 3 months or more and I’m not pregnant I took a test, and my face is getting rashly and more more acne what is wrong, at times I can’t even move from pain and I have discomfort in my stomach, is this a urgent matter ?

Female | 15

Symptoms such as missed periods, breakout of the face, more pimples, discomfort with the stomach, and also pain, might be symptoms of polycystic ovarian syndrome(P.C.O.S.). PCOS can cause hormonal imbalances that lead to these symptoms. It is important that you see a gynecologist, who can assist you in coping with your symptoms and also treat you where suitable.

Answered on 23rd May '24

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I have done a pregnancy test BETA HCG and result was 30187.00 what is this means

Female | 28

A Beta HCG blood test measures the levels of the hormone produced by the placenta during pregnancy. It likely indicates that you are pregnant and that the pregnancy is probably progressing as expected. Discuss the results with your gynecologist for more information and recommendations.

Answered on 23rd May '24

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Do ipill delay periods? How effective is an ipill tablet when taken between 48-72 hours? And for how long can they delay periods and when should I opt for a preg. Test? After sex, she got her periods after 3-4 days (for 3 days which is normal in her case) and they were painless this time with clots. Was that the withdrawal bleeding? It's been a month and 7 days since last that last bleeding and she hasn't got her periods yet. Is it a possible pregnancy? (p.s sex happened on the day she was supposed to get her periods)

Female | 20

Does ipill delay periods? Yes if taken properly as prescribed periods delay due to ipill. The effectiveness of the i-pill decreases the longer you wait to take it and taking it within 48-72 hours is the most effective time frame.If your concerned do a pregnancy test around 2-3 weeks after the date of the last unprotected intercourse. This will give the most accurate result.

Answered on 7th Nov '24

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I am 19 year old female and I had unprotected sex on 27 April for the first time and within 45 min I took the unwanted 72 tablet...my periods are delayed about 3 days....when will my periods come ???

Female | 19

Sometimes taking emergency contraceptive pills like Unwanted 72 can make your period come late, this is normal. Anxiety and stress also play a role in postponing periods. Give your period a week or more, it should show up.

Answered on 8th Sept '25

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Late periods problem per month

Female | 24

Usually, it is the norm for women to have late periods from time to time. Yet, if this ailment persists, then one should consult a gynecologist.

Answered on 23rd May '24

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Last month I got my periods on July 12 but this month I haven’t received yet

Female | 23

It’s common for periods to be slightly irregular at times due to stress, changes in routine, or hormonal imbalances. If your period is more than a week late, or if you experience other symptoms, it's best to visit a gynecologist to rule out any underlying issues. They can provide the right guidance and treatment if needed.

Answered on 26th Sept '24

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Hi, I am 37 years old, having brown and pink spotting from last 4 days..my menses has to come on 28/02/2024, feeling nausea and obdomen pain

Female | 37

Brown spots appear before your cycle begins, along with pink dots. Queasiness and abdominal aches occur too. It's hormones causing these changes in your body. Stress, food, and other factors affect cycles. To feel better, eat well, drink fluids, take care. If symptoms worsen or linger, talk to a gynecologist for assistance.

Answered on 5th Sept '24

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Question for OBGYN or anyone in women’s health: I am 25F and...

Why am I experiencing heavy bleeding on Evra patch?

Questions & Answers on "Gynaecology" (5026)

My period is 20 days late. I have never missed a period. I had a late bloody discharge gassy nauseous headache but pregnancy test are showing negative. I also have an IUD I’ve had it for about a year and a half now and my cycle always stays the same.

Suffering from nausea With leucorrhoea With pain during urination

Am girl after sexual thoughts my vagina release discharge toh kya yeh dangerous toh nai or yeh q hota jb zyda thoughts hoty tab zyda discharge hota jb thory thought hoty tb kaam krta.

Miscarriage k lia misoprostol Khai Hy us k bad blood spot hwa

Why am I having abdominal pain and dull discharge

i took azithromycin for chlamydia 2 weeks ago.. I had sex last night and started bleeding in between my next period. What caused the bleeding?

Hi I'm Deepa my last menstrual cycle started on August 10th and again cycle started on September 1st so is there any hormonal imbalance.

I have bumps on my vagina

Mam mere periods 12 ko aane thae nhi aaye fer mne 21 ko mtp kit le li aur 22 ko mere periods aa gye clotting k saath 5 din normal bleeding k saath ab m pregnant hu ya nhi y kse confirm kru

Mam mere do din se spotting si ho Rahi hai

Hello doctor I have a problem of pain just right below the breast sometimes can you tell me what is the problem

Hello I am a 15 year old Girl, I haven’t got my period in over 3 months or more and I’m not pregnant I took a test, and my face is getting rashly and more more acne what is wrong, at times I can’t even move from pain and I have discomfort in my stomach, is this a urgent matter ?

I have done a pregnancy test BETA HCG and result was 30187.00 what is this means

I am 19 year old female and I had unprotected sex on 27 April for the first time and within 45 min I took the unwanted 72 tablet...my periods are delayed about 3 days....when will my periods come ???

Late periods problem per month

Last month I got my periods on July 12 but this month I haven’t received yet

Hi, I am 37 years old, having brown and pink spotting from last 4 days..my menses has to come on 28/02/2024, feeling nausea and obdomen pain

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