Medical Q&A Obstetrics and Gynecology

Why won’t my heavy bleeding stop?

Published 20 April, 2025 | Answered by Dr. Mini Sood
Why won’t my heavy bleeding stop?
Patient Query

Hello Doctor,

I have PCOS and was prescribed birth control in July to help with long and heavy bleeding that lasted over 28 days. It worked for a while, but now I’m experiencing the same issue again. The bleeding won’t stop, and I don’t know what to do. Is this normal? How can I stop the bleeding and manage this better?

Certified Medical Response
Dr. Mini Sood
Dr. Mini Sood
Obstetrician and Gynecologist
Now reading the answer...

Hello,

Thank you for reaching out to Dr. Galen. Please find the below response to your query.

1. You need a thorough evaluation, including blood tests, to assess your hormone levels and overall health. Additionally, I need more details such as your age, weight, and any other symptoms like excessive hair growth, acne, or a history of diabetes.

2. Persistent bleeding in PCOS can sometimes be linked to endometrial changes, which require an ultrasound or scan to rule out hyperplasia or early cervical intraepithelial neoplasia (CIN). This isn’t a one-time treatment; managing PCOS-related bleeding often requires ongoing care. Consulting both a gynecologist and an endocrinologist is essential to determine the best course of action for long-term management.

Thanks

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