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Reasons for brown spotting instead of periods - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 327 Questions
User :   I am having Brown Spotting instead of my period. Im on birth control for 6 months now.
Doctor :   Hi
User :   hi
Doctor :   May I know your age?
User :   27 yrs
Doctor :   Since when have you noticed this?
User :   its happened for the last 2 months
Doctor :   Are you sexually active?
User :   i have been antibinics for 1 months due to having pnememona but I use condoms everytime me and my husband have incourse
Doctor :   Ok
Doctor :   Are these spotting noticed during the time of your regular periods or are these intermentrual spottings(occuring in between the periods)
User :   only during my white pills
User :   3 days after i start my white pills and stop the 1st day of my red pills
User :   i never have blood
Doctor :   Were your periods normal in the past?
User :   i never got my first period until i was 20 or so. but 6 months ago when i started this bc it startd pretty good but then i had really bad cramps.
Doctor :   Ok
Doctor :   Do you have any other medical illness such as thyroid problems, pcod, diabetes, hypertension?
User :   my thyroid is perfect. diabetes is not and i do have high blood pressure.
Doctor :   Ok
Doctor :   Let me brief you.
User :   ok
Doctor :   Brown coloured discharge/spotting is an altered blood, which happens mainly due to the blood that gets clotted.
Doctor :   The following may be causing these.
Doctor :   1. It can be a sign of pregnancy.
Doctor :   As you have been sexually active and on course of antibiotics, it is better that pregnancy is ruled out before other causes are considered.
Doctor :   Hence I suggest you to get the pregnancy test by means of the urine pregnancy kit.
User :   and if its neg.
User :   like they always are.
Doctor :   2. If they are negative, then the following conditions may be the causes.
Doctor :   2. Since your periods were not regular in the past, and this was being treated by the use of the bc pill,
User :   its hard to take pg. test its always the same. neg. i've always wanted a baby but they put me on bc to control my period and i cant even get that
Doctor :   and as antibiotics can reduce the effectiveness of the pills, the absence of normal bleeding and the brown spotting may have been result of this.
Doctor :   It would get resolved slowly once the antibiotics gets metabolised and the effectiveness of the bc pills gets normalised.
Doctor :   3. If the same symptoms continues, then the possibility of other conditions such as stress, the recent infection, nutritional status, ovarian disorders such as pcod have to be considered.
Doctor :   In such instances (that is if these periods do not normalise in the subsequent months), I would suggest you to consult your gynaecologist for evaluation.
Doctor :   Have you followed what I have suggested?
User :   yes. i will get a pg test today. but i dont have insurance. it was canceled june 1st.
Doctor :   You can get the urine pregnancy kit which is easily available in the stores.
Doctor :   perform the test and if they come negative, then
Doctor :   you just have to wait for a few months.
Doctor :   The symptoms should get normalised.
Doctor :   Avoid stressors and follow a good nutritious diet.
Doctor :   This should help you in bringing things to normality.
User :   my diet is lots of veggies and fruits little meat but i still cant lose weight
Doctor :   Only if the symptoms persists inspite of the following measures, then I would suggest you to consult your doctor.
Doctor :   And to those measure also add good sleeping habits.
User :   sleeping is a joke sometimes
Doctor :   Inadequate sleep, excessive stress, lack of good diet are all known to causes menstrual irregularities.
User :   ok.
Doctor :   You would need to rectify them, if you want to have your periods normally.
User :   ok
Doctor :   Since you mentioned about inability to reduce weight, I shall also recommend to practise simple physical exercises.
Doctor :   Do you have any other query?
User :   i excerises 3 times a week
User :   1 hour a day
User :   and still no weight lost
Doctor :   You need to be persistent and regular with what you are doing,
User :   ok
Doctor :   It includes both dieting and exercises.
Doctor :   Only then there can be effective weight reduction.
User :   thank u
Doctor :   And since they take some time in bringing down the weight, you need to be patient too and keep it going.
Doctor :   have you followed?
Doctor :   Do you have any other query?
User :   ok
User :   bye\
Doctor :   Thanks for consulting me. Bye for now.
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