When Should I Contact an OB/GYN?

Keep a record of your menstrual cycles, including when menstruation begins and ends, how much flow you have (count numbers of pads and tampons used, noting whether they are soaked), and any other symptoms you experience. Tampons should be changed at least twice a day to avoid infection.

Because aspirin may prolong bleeding, it should be avoided. Ibuprofen is usually more effective than aspirin for relieving menstrual cramps.

Normal loss of menstrual blood is less than 3 ounces of blood per month. Excessive bleeding can cause anemia and fatigue, and can interfere with everyday activities. It is not normal to have your menstrual periods control your life.

Bleeding may be something to worry about if it occurs between periods, after intercourse, or if you are over age 50, especially if you have already gone through menopause.

It’s time to call your doctor if:

* You have soaked through a pad or tampon every hour for 2-3 hours.
* Your bleeding has lasted longer than one week.
* You miss work or limit activities because of your periods.
* You are pregnant.
* You have severe pain, especially if you also have pain when not menstruating.
* Your periods have been heavy or prolonged for three or more cycles, compared to what is normal for you.
* You have a fever or abnormal vaginal discharge, especially if it has an odor.
* You have bleeding after menopause.
* You have bleeding or spotting between periods.
* You have nipple discharge, excessive hair growth, deepening voice, unintentional weight loss or gain, or new acne.

If you feel you have any cause for concern or just need to be reassured you should contact your OB/GYN. They will tell you if you need to be seen by a medical professional.

This information is provided for your information. It is not medical advice and should not be relied upon as a substitute for visiting your doctor. If you need medical care, or have any questions, please contact your obstetrician-gynecologist.