Menstrual disturbances can result from a number of causes, starting for hormonal changes, physical illness such as disease in the thyroid gland), abnormal tissue int eh womb (uterus; these are usually benign growths inside the womb that we can detect on ultrasound and that need to be followed up every now and then), and emotional stress. To avoid the development of anemia fro heavy bleeding, and especially if this abnormal menstrual cycle pattern continues to occur, I advise you to visit a gynecologist in the clinic for a better assessment and investigation as needed.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.