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Scanty And Irregular Cycles. Having PCOS. Is This Normal?

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Posted on Wed, 20 Nov 2013
Question: This is the 2nd time in a row that I notice bleeding only when I wipe is this normal? I did see a blood cot come out but not bigger than a quarter, maybe nickel size. I do have borderline pcos.
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Answered by Dr. Aarti Abraham (35 minutes later)
Brief Answer:
SPOTTING IS COMMON IN PCOS.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
For women with PCOS, it is the norm to experience scanty and irregular cycles.
More often than not, spotting occurs instead of a proper menstrual period.
I hope you have been thoroughly evaluated for PCOS in the form of hormonal tests -
FSH
LH
prolactin
TSH
serum free testosterone
DHEAS
fasting serum insulin
oral glucose tolerance test
pelvic ultrasound scan

Also, proper treatment should be initiated - generally Metformin is prescribed for metabolic control.
Also, if you are overweight, weight loss is the mainstay of therapy - even a 5 % loss in excess weight will regulate your cycles.
If you are sexually active, then take a pregnancy test just to be sure and rule out pregnancy / miscarriage / ectopic pregnancy.
All the best.
Please feel free to ask for further clarifications.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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Scanty And Irregular Cycles. Having PCOS. Is This Normal?

Brief Answer:
SPOTTING IS COMMON IN PCOS.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
For women with PCOS, it is the norm to experience scanty and irregular cycles.
More often than not, spotting occurs instead of a proper menstrual period.
I hope you have been thoroughly evaluated for PCOS in the form of hormonal tests -
FSH
LH
prolactin
TSH
serum free testosterone
DHEAS
fasting serum insulin
oral glucose tolerance test
pelvic ultrasound scan

Also, proper treatment should be initiated - generally Metformin is prescribed for metabolic control.
Also, if you are overweight, weight loss is the mainstay of therapy - even a 5 % loss in excess weight will regulate your cycles.
If you are sexually active, then take a pregnancy test just to be sure and rule out pregnancy / miscarriage / ectopic pregnancy.
All the best.
Please feel free to ask for further clarifications.