Conversation: The conversation between human and AI assistant.
[|Human|] I am a 41 year old female. In December I received a cortisone shot in my shoulder. At about the same time I started having my period very frequently - i.e. for the last 4 months, I have had my period more often than not. The bleeding is usually not heavy, but definitely increases with heavy exercise. I have the Mirena IUD and usually don t get my period with it so that is especially weird. My pap smear was normal as was the endometrial biospsy. My doctor has given me a 2 week supply of low dosage estrogen but, thus far, that doesn t seem to help. Just recently I have noticed that I am easily bruising and now I have a hard lump on the left back side of my neck. Should I be concerned? Could all these things be related?
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. First I want to say one thing your hard lump has no relation with your heavy periods. You may have dysfunctional urine bleeding or some adenomyosis or some other gynecological problems that leads to heavy bleeding.  You should go for gynecological examination and ultrasound abdomen for that. Your lump on back of neck can be due to reactive hyperplasia of lymph node due to some infection.  However, it may be some soft tissue tumor or rarely lymphoma.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.