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Chances of miscarriage or endometriosis due to break in bleeding - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2280 Questions
User :   I have been having problems with my period. Last cycle I had a period that lasted 4 days, stopped for 3, had another for 4 days, stopped for 3days and then had some brown discharge for 2 days...this cycle I had a 3 day period and stopped for 4 days and then started again for 3 days, yesterday after my shower I felt like I had to have a bowel movement and while on the toilet I had a gush of blood and after wiping 3 times I got a little bit of blood clot and something else that I had never had before. It was about the size of a lima bean and was light pink/clear and a bit gummy feeling...I asked my brother who is a nurse and he said that I might have had a miscarriage. Is this a possibility or am I being paranoid?
Doctor :   hi
Doctor :   Dr. here. Let me read what you have typed
User :   k..thanks
Doctor :   please provide your age, location, occupation, height , weight.
Doctor :   are you having pain along with the bleeding?
User :   29, Teacher, 5ft3in, 272lbs.... not a lot of pain
Doctor :   when was your last NORMAL menstrual period?
User :   lower back ache mostly
Doctor :   are you having pain while passing bowel or urine?
User :   umm in february
User :   no
Doctor :   ok. I would suggest you to have a physical examination and few tests done
Doctor :   like Ultrasound abdomen, complete blood counts, hormonal analysis of FSH, LH, Prolactin, TSH
User :   could you tell me what you think the little thing was that came out?
User :   I have an appointment with my GYN next Tuesday, is this something that I should have looked at ASAP or can it wait until then?
Doctor :   the cause of such breakthrough bleeding could be 1) anemia, 2)hormonal imbalance, 3)endometriosis, 4) miscarriage
Doctor :   if the bleeding does not occur again, then you could wait
Doctor :   if the bleeding or clot happens again or pain increases, then you should not postpone your visit.
Doctor :   are you on any birth control measures? if yes when have you started taking it? and which one are you taking?
User :   ok, the only thing that freaked me out a bit was that clot of something that was not normal for me, but my period has been weird for a couple of months anyway
User :   Just condoms
Doctor :   irregularity of periods should not be ignored, it can be a possible sign of any of the above conditions mentioned, more so of endometriosis
User :   ok
Doctor :   discuss with your gyne the possibilities and start on appropriate treatment
User :   In late Dec early Jan I had an ultrasound done to see if I had cysts and I did not
User :   but that was because of headaches
User :   not because of weird periods
Doctor :   ok. that is good that no cysts were found in ultrasound, it is better to have a repeat check done now since your periods cycles have become irregular
Doctor :   and you are having different bleeding pattern
User :   if I had a miscarriage, would they still be able to tell that next week? Is it possible that I had a miscarriage even though I have been bleeding or having what seemed like a period as often as I have?
User :   ?
Doctor :   miscarriage can be a silent one
Doctor :   with minimal bleeding and pain
Doctor :   if you have had a miscarriage, then there wil be changes in uterus
Doctor :   that can be made out with scan
Doctor :   have you followed what I have said?
User :   Thanks for your advice. :) and help
User :   yes
Doctor :   is there anything else i can help you with?
User :   Nope, I will see my GYN next Tuesday. you were just someone to put my mind at ease
User :   thanks
Doctor :   please fill feedback form , say done when done.
User :   ok thanks
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   Thanks
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