Hello there, I’m a 24 year old lady. The last time I got my proper period was March 26,2025. I menstruated for 4 days and prior to that date, my period has been regular at least for the last 6 months. So, normally the next period was supposed to be April 22 but I didn’t get it. Then June 14, I had spotting like I’ll normally get first day of my period but the flow didn’t increase. And that was it. Two days later I had spotting for the next 5 days, I was spotting. I was using pant liner and I noticed it became a little bit heavier I switched to pads. Up on till now, I’m still menstruating and it has become very heavy. I’m not pregnant. I did a pelvic ultrasound scan and my uterus is fine.

📋Medical Analysis

Professional Assessment: Given the patient's age and symptoms, the primary differential diagnoses include dysfunctional uterine bleeding (DUB), hormonal imbalance, and anovulatory cycles, which are common in young women. While the pelvic ultrasound shows normal uterine size (7.1cm x 4.1cm) and endometrial thickness (11.0mm), with unremarkable adnexa and surrounding structures, the irregular bleeding pattern suggests a potential hormonal dysregulation. Additional testing should include complete blood count, thyroid function tests, prolactin levels, and hormonal panel (FSH, LH, estradiol) to rule out underlying endocrine disorders, particularly given the patient's young age and the sudden change in menstrual pattern. The normal ultrasound findings rule out structural causes (such as fibroids or polyps), pointing more strongly toward a functional/hormonal etiology that requires further endocrine workup.