Brief Answer:
DETAILED BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
This kind of
abnormal menstrual bleeding should first be investigated for pregnancy or related complications.
It could be a pregnancy .
It could be a ' pregnancy related complication ' such as - a miscarriage, ectopic pregnancy etc.
So the first think I would do for such a patient walking in to my clinic is - a pregnancy test.
Other than that, there could be various causes for spotting which replaces normal periods.
Stress, tensions on personal or professional front, weight gain, changes in climate, diet or sleep patterns, ingestion of hormonal medications - all these are potential causes.
Polycystic ovarian syndrome,
hypothyroidism,
endometrial hyperplasia , a cervical / uterine polyp should also be ruled out.
Please consult a gynecologist, to have the following work up -
1. Pregnancy test
2. Pelvic ultrasound scan
3. Hormonal levels - FSH, LH, TSH, Prolactin, OGTT,
Lipid Profile, DHEAS, Free Testosterone, Fasting serum insulin
This workup will reveal a cause.
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.
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