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My 4 week Period
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An_248847 posted:
Hello... I am currently 14 years old and I have been having serious health problems including ovarian cysts and irregular periods every 2 weeks and me bleeding really heavily.... 4 months ago I started seeing an OBGYN in hopes of figuring it out...... They put me on a low dose of birth control and nothing happened so they changed it... Putting me on a heavier dose ( like a5) and nothing happened that moth I still kept bleeding. Last month they put me on a really high form (a 9) and I have been bleeding for 4 weeks straight!!! I am supposed to go see a specialist next month. Is there any reason this is happening???

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  • Is it because my birth control
  • Is it because my age
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Jane Harrison Hohner, RN, RNP responded:
Dear An: The easy question first, OK? It is very unlikely that this current bleeding this is related to your age. Your initial frequent and heavy bleeding can be linked to age as younger women are more likely to have irregular ovulations (usual cause for erratic/prolonged bleeding in teen women).

The most common reason for the current bleeding would be marked" breakthrough bleeding" as the lining of your uterus is "getting used to" the hormones in the birth control pills. One RARE cause for this kind of heavy bleeding in an adolescent women would be an undetected bleeding disorder (eg genetic blood clotting problem). This can be ruled out with some blood tests.

It's wise that you are being referred to a specialist since you have not responded to increasing doses of birth control pills. Usually it takes about 3-4 months for breakthrough bleeding caused by birth control pills to level out. Hopefully you will achieve good cycle control soon.

Yours,
Jane


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