Persistent intermenstrual bleeding, tests all normal so far
TL;DR since this is half looking for advice, half rant— bleeding 75% of the time, but even in the other 25% my cervix bleeds if I so much as think about it too hard, exhausted, in pain, affecting my daily life. Ultrasound, Pap smear, TSH blood work and CBC mostly normal. What next?
I’m 30yo, no kids, no preexisting diagnoses. Not on any form of hormonal BC.
For about 6 months now, while my cycles have stayed relatively regular at 23-29 days, my actual periods have progressively gotten heavier (my last period I was using 3-4 overnight pads during an 8 hour workday). Once my period stops I have about a week of little to no bleeding until I ovulate. Then I’m lightly bleeding every single day until my period starts in earnest. This bleeding has also progressively gotten heavier. I just ovulated three days ago and I’ve had to wear a pad every day since.
I had a pelvic exam and Pap smear. This was during my “window” where I wasn’t actively bleeding. She describes my cervix as “friable” and the exam alone made me bleed pretty significantly.
She told me to go get an ultrasound and bloodwork to check TSH.
Ultrasound tech luckily could see everything without going internal, but ultrasound came back as unremarkable. TSH right in the middle of normal range.
I also got a CBC and my white blood cells were slightly elevated, but still on the high end of normal, and my platelets were also higher than normal range, but I have been bleeding so not too surprising. Everything else normal.
Pap came back clean. Did an STI panel just because and that came back all clear.
I have a follow up scheduled with the gyn next week, but my PCP couldn’t get me in until end of July. I’m not even sure what questions to ask or what I should be expecting from the doctors. On top of the bleeding I’m also “tired as f—k” and don’t have the energy to do anything, which is highly unusual for me, I’m usually quite active and waking up at the crack of dawn to go on hikes before work, now I can barely make it through the workday—lately I’ve frequently felt like I shouldn’t even drive myself home after work because I’m so exhausted.
Also a not insignificant amount of pain, and I have to tell myself to note it considering I rated my ruptured appendix as a 3 out of 10. Cramping throughout my entire cycle, and a hard to describe pain throughout my whole body—the best way I can describe it is if you’ve ever jumped down from somewhere and landed a bit too hard on your feet and you can feel the shock get absorbed through your whole body up through your skull. I can function but it’s distracting and unpleasant.
It’s not that I wanted the tests to come back abnormal. I’m glad things are clear so far. But if I’m honest I’ve been progressively feeling more like sh-t and it’s getting harder to handle, so I was hoping to learn something *actionable*.
My doctor has been great so far, not dismissive at all, but I guess I’m just nervous since these initial tests came back normal that I’ll go to this follow up and that’ll change. Just looking for advice on what I should be asking and expecting from them moving forward.