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Possibilities of having intermenstrual 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 : 2009
Answered : 352 Questions
User :   Hi doc,I need help,I''m 40yo woman,never have sex still a virgin,and I had spot on my ovulation time,my last period started at date 16 Feb,I'm started to have spot at date Feb,27 till every day small tiny spot and light brown color, is this not normal,what is your suggestion for me,should I check further as sign not normal,or this should be normal?Please advice me thank you
Doctor :   hi
User :   yes
User :   Hi doc
User :   please advice me is this normal ovulation bleeding or not?
User :   yes I am asking your opinion here
Doctor :   Pls. give me few seconds to go through your query.
User :   yes
Doctor :   Ok,
Doctor :   I have gone through.
User :   I am having the spot from day 11 to day 15 from my last period now
User :   yes
Doctor :   May I ask you a few more questions to help you better ?
User :   sure
User :   please
Doctor :   Have you ever have had spotting in between periods ?
Doctor :   Or Intermenstrual bleeding ?
User :   I am not notice usually,but just this time I see in my wiping tissue
User :   but my menstrual is very regular
Doctor :   Ok.
User :   never miss any date
User :   so?
Doctor :   Usually intermenstrual spoting happens sometime.
User :   it also having mittelshcmerz or mild pain occur at day 14
User :   means yesterday
User :   now gone
Doctor :   It is not irregular bleeding
User :   so what is best to play safe here?I mean are u sure this just normal or better to check further with my Obgyn doctor?
User :   I just want to play safe doc
Doctor :   The pain can appear suddenly and usually subsides within a few hours or occasionally after a couple of days. In some women, the Mittelschmerz is localized enough so that they can tell which of their two ovaries provided the egg in a given month.
Doctor :   Do you have any of these symptoms ?
User :   also my last question,since I still have the spot till today this afternoon time,until how many days more
User :   yes I had localized pain right
User :   but just have it this month,before never feel it
Doctor :   Uusally The Intermenstrual bleeding lasts for 4-5 days.
User :   Im having spot from day 11 to 15 day from my last period started
Doctor :   It is the fourth day.
User :   date 27 is last saturday doc
User :   now is fifth day already
Doctor :   Ok.
I would advsise you to wait for one more day and if still it is persisting , I would advise you to go for an ultrasound .
User :   if till sixth or seven day,do u have case like that or not?
User :   you mean low abdomen ultrasound?
Doctor :   Yes we have seen cases which suddenly start with intermenstrual bleeding and then you surprisingly dont have in the coming 11-12 months .
User :   do u ever have patient who had myd cycle spot till 7 days occur?
Doctor :   Have you been on any pother medication /
Doctor :   ?
Doctor :   Tamoxifen,Drugs altering clotting parameters e.g. anticoagulants, SSRIs, corticosteroids ?
User :   no just taking supplement of cranberry ,salmon oil,evening primrose oil and chasteberry
User :   that what I eat daily
User :   supplement only
Doctor :   Ok.
User :   no drug
Doctor :   May I know if you are a diabetic ?
User :   do u have patient with ovulation bleeding till 7 days?
Doctor :   May I know your height and weight ?
User :   no,Im no diabetic
Doctor :   Yes, we have had even till 9 days.
User :   5,6 feet and weight 58 kg
User :   at my age 40?or still teenager at nine days?
Doctor :   Diabetes and obesity and nulliparity can cause this sometimes.
User :   yes I gain weight quite rapid recently
User :   but no diabetic
User :   because I drink milk with cream too much I think
Doctor :   Please wait for 1 more day and if it doesnt stop then i would advise you to go for an USD.
User :   thats true obesity can be the driver
User :   USG? u mean?
User :   USG???
Doctor :   To rule out :Polycystic ovary syndrome
Doctor :   Yes, ultrasonography.
User :   what is Polycystic ovary syndrome
User :   pls tell me a bit?
Doctor :  
Endometrial polyps
Adenomyosis (usually only symptomatic in later reproductive years)
Endometrial adenocarcinoma -
Only 2% endometrial cancers occur before 40 years old. Risk factors include: User :   I had my last USG at July last year
User :   I am regular check it doc
Doctor :   PCOS is a case where there are cysyts in ovaries.
Doctor :   improper ovulation.
User :   no hormonal?
Doctor :   and other hormonal problems.
User :   my doc said can be hormonal problem also
User :   yes okay if cyst happen,can be treated with drug or must be surgery?
Doctor :   That is what I have mentioned above .
Doctor :   I dont think you will be having a cyst and can be treated by medicines.
Doctor :   by Meprate tabs.
Doctor :   if they are not reduced then we opt for surgeries.
Doctor :   Do not worry, just lets wait for one more day and lets take it forward.
User :   oh okay,but today my spot is very very tiny like want to lasting perhaps,brown discharge along with thick mucus
Doctor :   I might require more time.
User :   what happen today like that
Doctor :   Ok.
User :   okay,then,thank you
Doctor :   I would say the yes yo USG.
Doctor :   Thank you for consulting me.
Doctor :   Take care, bye for now.
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