Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dysmenorrhoea, Feeling abnormal, Haemoglobin decreased, Heavy menstrual bleeding
Clinical narrative: On April 15, I began my period. The first day was not too bad. Normal. I noticed on the 2nd day, very heavy bleeding. Very first time I've ever experienced a blood clot coming out. The period was so heavy that I was sitting down for dinner, I bled through my jeans. I've never experienced that before. I've never experienced any pain in this event. I was also taking a leave at the time for menstrual cramps. Normally my periods will last 3 days. But in the month of April, it lasted 7 days which I've never experienced before. I let it go and thought it could have been a change in period. Or that it could be my vaccine. May, June, July - same kind of periods. I noticed that the ultra tampon would be soaked within an hour or two and I would have to change those frequently. And for those months were the same for leave for menstrual pain. I still did not go to the doctor at this time. I figured that my body would adjust over time. The first week of August, I noticed that I had a strange craving to eat sand or something gritty. I made an appointment to see my PCP after vacation. I met with them on 8/30/2021, and at the time I told him about the craving for the sand, and I told him about the heavy periods and that happened to occur after the vaccination. he noted that there probably wasn't a correlation and he sent me for blood work. And that blood work showed that there was low levels hemoglobin. He expressed that he wanted me to see a hematologist immediately. I reached out and the earliest that they could see me was on 09/08/2021. So the hematologist expressed at the time that they would run additional labs to verify iron levels and finding out if anything could be cancerous. They wanted to learn about the reason for the blood loss and the low hemoglobin. He ran more labs and also told me to take Ferrous Sulfate 325mg and return to his office on 10/06/2021. 09/09/2021 went to my gynecologist and notify him of the heavy periods. At that time, the gyno prescribed birth control (Norethindrone 0.35mg) to help with the bleeding. He also performed a pap smear and then scheduled me for a procedure called a son hysterogram to see inside of uterus. I returned for my follow up with my hematologist and I was taking the supplements as instructed. Instructed to take 2 iron pills in morning & evening every other day. If I could tolerate it, I could take 3 a day. They ran labs that day, and I also let the doctor know the gyno wanted to follow up with another procedure. And I was still taking the birth control and that it did not decrease the bleeding for that month. The results indicated that the hemoglobin levels increased a little, but he also mentioned to get iron infusions because my iron levels were low. I began iron infusions 10/14, 10/21, 10/22, 10/25. After the iron infusions, I went back to get my blood tested again and my labs showed that my hemoglobin was higher than previously, but still lower and considered anemic. On 11/1/2021 I had son hysterogram. At the time, he saw that I have two large fibroids in my uterus, and I was not provided any information on the size or anything. He expressed that the only way to solve the issue with heavy periods is to have a partial hysterectomy, leaving the ovaries. He told me to continue to take the birth control and follow up in 02/2022. I went to a second gyno on 11/11/2021 - he express that he left a large fibroid and my primary gyno never sent my medical records while I was in the office. What the second gyno recommended that I have a soft pelvis MRI and he also wanted to determine the size of the fibroid to see if I could be a candidate for a procedure: uterine myomectomy or a uterine artery embolization. I tried to schedule my MRI and surgeries, but they are currently pending. I still currently have heavy periods. All 4 of the doctors are saying that it's unrelated and I may see a correlation but I'm not sure.