Hi,
Persistent vaginal bleeding can have various causes, including hormonal imbalances, infections, uterine or cervical abnormalities, or certain medications. Since your
Pap smear and hormone levels are normal, it is important to consider other possible causes.
Given that you had a yeast infection recently and were treated with Diflucan, it is possible that the bleeding is related to the treatment or the infection. Vaginal
yeast infections can sometimes cause irritation and inflammation, which can lead to bleeding. In addition, Diflucan can cause side effects like
vaginal discharge and bleeding in some cases.
To treat persistent vaginal bleeding, you should speak with your doctor to determine the underlying cause. They may recommend additional testing, such as a pelvic exam,
ultrasound, or biopsy. Depending on the cause, treatment options may include:
* Medications: If the bleeding is related to an infection, your doctor may prescribe antibiotics or antifungal medication.
* Hormonal therapy: If the bleeding is caused by hormonal imbalances, your doctor may recommend hormonal therapy to regulate your menstrual cycle.
* Surgical procedures: If the bleeding is caused by uterine or cervical abnormalities, your doctor may recommend surgical procedures, such as a
hysteroscopy or
dilation and curettage (D&C), to remove the abnormal tissue.
* Supportive measures: Your doctor may recommend measures to reduce bleeding, such as bed rest, avoiding physical exertion, and taking
iron supplements to prevent anemia.
It is important to follow up with your doctor regularly to monitor your condition and ensure that the bleeding is properly managed. If you experience severe or prolonged bleeding, seek medical attention immediately.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician