The short answer
What menstrual changes are concerning, and when should I seek medical care?
Menstrual concerns can include missed or irregular periods, bleeding that lasts longer than usual, unusually heavy flow, or severe cramps. Many cycles vary, but bleeding for more than 7 days, soaking a pad or tampon about every hour for several hours, changing products in less than 2 hours, or passing clots as large as a quarter warrants medical advice. Track dates, duration, flow, pain, and related symptoms. Heavy or prolonged bleeding can contribute to anemia, causing tiredness, weakness, or shortness of breath.
When might more than messages be needed?
A remote history can clarify timing, flow, pain, pregnancy possibility, medications, contraception, and family bleeding history, but it cannot by itself assess anemia, pregnancy-related causes, pelvic findings, or uterine conditions. Depending on symptoms, in-person care may require vital signs, a pelvic examination, pregnancy or blood tests, and sometimes ultrasound or other testing. Urgent symptoms should not wait for a video visit.
Overview
Educational information about menstrual concerns. Online care may or may not be appropriate; a clinician must evaluate your individual circumstances.
Common symptoms
- Irregular timing
- Cramping
- Changes in flow
How online care works
Choose your concern and check your current state. If an approved clinical intake pathway is available, a licensed clinician may review your health information and determine the appropriate visit type and next steps.
When virtual care may be appropriate
- Symptoms are not severe or associated with emergency signs
When to seek urgent or in-person care
- Very heavy bleeding
- Fainting
- Severe pain
- Possible pregnancy complication
For a possible medical emergency, call 911 or seek immediate emergency care.
Potential treatment options
- History review and counseling
- Testing or referral
- Treatment when appropriate
Frequently asked questions
Can menstrual concerns be evaluated online?
It depends on your symptoms, location, and the clinician's judgment. Some situations require an in-person examination.
Will I get a prescription?
Not necessarily. A prescription is issued only when medically appropriate.