Brief Answer:
I am glad you're following up with your doctor.
Detailed Answer:
Lliver disease has to be quite severe to affect blood coagulation. What you describe has nothing to do with vaginal spotting. The most common cause of mild
fatty liver is glucose intolerance and has to do with fatty stores being necessary for energy since the cells aren't sensitive to
insulin. Losing weight and increasing exercise are the best treatment for early glucose intolerance, a forerunner of
adult onset diabetes. Lifestyle changes can prevent it from ever progressing to full-blown diabetes. It may even reverse the mild fatty liver. Keep up the good work.
Yes it is possible to not find an explanation other than
hormonal fluctuations.
Prolactin is made by the pituitary it is increased when women breast-feed. It can also be increased by little growths in the pituitary that are benign. Elevated prolactin tends to make women skip periods but sometimes it can cause other menstrual cycle abnormalities. It is a simple
blood test to check a prolactin level. Medication is usually used to treat the condition.
Thyroid abnormalities are much more common (1000X) than prolactin abnormalities however when abnormal bleeding occurs it's easy enough to check both. If you
are you on any new medications, some psych meds can also cause changes in prolactin levels. Again this is usually associated with skipping. But sometimes the effect is mild. That can result in spotting. Also excessive use of aspirin or other anti-inflammatories can produce easy bruising and bleeding from delicate tissues like the inside of the cervix. I did not see him medication history. If you not if you're not using any medication or over-the-counter supplements then ignore those remarks. Some herbal products can also affect bleeding and clotting. And some are difficult for the liver to metabolize. Herbal compounds from overseas can sometimes contain contaminants including blood thinners. I would recommend stopping all aspirin and aspirin like anti-inflammatories, herbs and supplements if no other explanation is found. But even after all this the explanation made be a variant in your physiology that is age-related and unimportant. That would be a good thing!
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