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Vaginal spotting between periods - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2009
Answered : 636 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   hi there, I had an abortion last August of 2009, was 5 weeks along.
User :   at the time
Doctor :  
ok
User :   my first period then came Dec 14 2009, after that procedure
User :   then I ovulated on day 15
Doctor :   Ok
User :   got period on day 30
User :   then ovulated on day 15 (Jan 28 2010)
Doctor :  
Ok'
User :   I have been trying again for a baby all this time, having intercourse on ny peak days
Doctor :  
Ok
User :   On Feb 12, I have been spotting i believe
User :   no menstrual bleeding'
Doctor :  
Ok
User :   the spotting is described as pink, and a few drops of red, I can see a bit of pink blood when I wipe, and the red when I put my fingers up my vagina
User :   no bleeding on underwear or pad, its been on and off for 2 days now the spotting
Doctor :  
Ok
User :   i did a pregnancy test midmorning today, and its neg
Doctor :  
Ok.
Doctor :  
May I know your age?
User :   29
User :   my breasts have been sore until the expected period, then they stopped hurting
User :   a couple days ago
Doctor :  
OK
Doctor :  
When was your last sexual intercourse?
User :   I am wanting to know if this is my period?
User :   very light cycle?
User :   or is is too early to test for pregnancy?
Doctor :  
When was your last sexual intercourse?
User :   Jan 28 (day 15), the ovulation kit predicted that I was about to ovulate at this time, so we had intercourse
Doctor :  
Ok
User :   then we had sex day 16, and day 17 too
Doctor :  
I shall explain it to you.
User :   ok
Doctor :  
These symptoms could mean 3 different conditions
User :   ok
Doctor :  
1. You still may be pregnant.
User :   ok
Doctor :  
The test which is done looks at the level of the HCG in the blood
User :   u mean a blood test?
Doctor :  
and the HCG levels take some time about 2 weeks to 4 weeks to be sufficiently high to indicate in the blood or in the urine.
Doctor :  
So a repeat test after 2 weeks would be more precise in indicating if you are pregnant.
User :   ok
Doctor :  
2. The second possibility is that these symptoms could just be the symptoms of ovulation.
User :   what does that mean?
Doctor :  
Ovulation some times indicated by mild spotting with abdominal cramps.
User :   that im ovulating now?
Doctor :  
Since your ovulation is around the corner, it could mean that you are ovulating on the day you had spotting
Doctor :   Are you following?
User :   yes but how can that be?
Doctor :  
I said these are the possible chances that they could be
Doctor :  
and not it is what is the cause for the symptoms.
Doctor :  
Have you followed now?
User :   i did have cramps in the uterus area at 6am on day 29
User :   so the spotting could mean ovulation is nearby?
Doctor :  
it indicates that you would have had the ovulation on that day.
User :   oh
User :   whats the third?
Doctor :  
3. The third possibilty is that these changes could have secondary to the stress
Doctor :   Stress can result in hormonal disturbances triggering the spotting.
Doctor :   hence i would suggest you these measures
User :   ok
Doctor :   since the spotting is reducing now.
User :   yes
Doctor :  
1. You get the repeat of the urine pregnancy test after 2 weeks time
User :   ok
Doctor :  
this would be a better indicator of pregnancy then your present test.
Doctor :  
2. manage stress appropriately
User :   is it a possibility im having implantation bleeding if pregnant?
Doctor :  
Yes, that may also be possible, but if you are pregnant.
User :   ok
Doctor :  
So if the urine pregnancy test comes positive, then this is quite possible too.
Doctor :  
That is why I did not mention about that.
User :   ok
Doctor :  
proper stress management would be possible by regular sleep habits and following a healthy life style.
User :   yes
Doctor :  
3. a healthy balance diet is necessary too.
User :   ok
Doctor :  
4. Follow with the urine pregnancy test and if needed an evaluation by a doctor would be necessary.
Doctor :  
Have you followed?
User :   yes, i was thinking of going for bloodtest this week, to check hcg levels do u think they would show in a blood test?
Doctor :   Blood test are definitely better than the urine test, but if they are negative, the same applies.
Doctor :  
So you have a choice of getting the test now, or waiting for 2 more weeks and get the test then.
Doctor :  
Have you followed?
User :   yes, i am too anxious and i think i will do the bloodtest, it seems to be most accurate?
User :   so
User :   if the bloodtest is neg, and i am not pregnant, shall I consider this spotting a very light period?
Doctor :   Yes, you may consider this as the 2 other possibilities that i mentioned.
Doctor :  
If these cycles repeat then they could be signs of irregular cycles.
Doctor :  
Have you followed?
User :   yes, and i am a very regular person
Doctor :  
Since you are been regular with your periods so they are more likey that any of the three possible condition is the cause for the spotting.
Doctor :   You may follow what I had suggested.
User :   my bbt was 36.6 this morning
User :   would this tell u anything?
Doctor :   Ok
User :   i checked it just now again and its 37.5
Doctor :  
BBT is useful if you have a continuous track of the temperature every day.
User :   oh
Doctor :   BBT is a record of every days body temperature (oral temperature) done in the morning during the menstrual cycle.
User :   i do it vaginally
Doctor :   oral temperature is considered for BBT
User :   oh
User :   so oral is best?
Doctor :   Yes.
User :   ok
Doctor :  
It is an indicator of ovulation.
User :   yes
Doctor :  
If you record the temperature every day and you see on one particular day the temperature is higher than your previous temperatures
Doctor :  
then it indicated that you probably are ovulating on that day.
User :   can u ovulate without having a period?
Doctor :  
A single reading cannot make this differentiation, isn't it?
Doctor :   Generally no, but can occur some times, rarely.
User :   oh
Doctor :  
I mean rarely.
User :   ok
User :   well i really hope im pregnant
Doctor :   Do you have any other query?
User :   no
Doctor :  
I wish the same.
User :   thank u for your help
Doctor :   Please fill the feed back form too.
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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