I am in Tirana and my bleeding is becoming very heavy. Should I get help now?

With your history of bleeding severe enough to require a transfusion, I would take a

new episode of very heavy bleeding seriously. There are several possible causes, including

hormonal or ovulation problems, PCOS, fibroids, pregnancy-related causes, and other

gynecological conditions, so the amount of bleeding and your previous history both matter.

I would ask how long the bleeding has lasted, how heavy it is, how often you are changing

pads or other menstrual products, whether you have pelvic or abdominal pain, dizziness or

weakness, and whether pregnancy is possible. I would also review your previous

investigations, diagnoses, and medications. Depending on what you tell me, you may need

blood tests or an in-person gynecological assessment.

If you are soaking through pads very quickly, feel faint or unusually weak, have severe pelvic

or abdominal pain, or feel you may be losing a significant amount of blood, please seek

urgent medical care rather than waiting for an online consultation.