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What Causes Vaginal Bleeding With History Of Tubal Ligation?

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Posted on Mon, 29 Dec 2014
Question: I had my tubes tied in May after my 3rd cesarean. Over the past three months I've noticed light pink blood accompanied by light cramping and major bloating. This will last 4-5 days then stop. Its not enough to warrant a tampon just when i use the restroom. I've noticed each month that there is more light pink blood than the previous month and this month there was a clear discharge with blood in it. This occurs about 2 weeks before my period. Is this normal?
doctor
Answered by Dr. Sameer Kumar (11 minutes later)
Brief Answer:
possible progesterone deficiency

Detailed Answer:
hello,
thanks for contacting healthcaremagic

what you are experiecing is called break through bleeding in the middle of the cycle due to a possible progesterone deficiency , which is heavily governed by stress factors during the cycle. ideally , this is seen in many women and tend to cease on its own when the stress levels are low and progestin pills are not required.
If this persists for 2 more cycles, then you may get your midcycle serum progesterone levels done to ascertain any deficiency.

regards,
dr XXXXXXX
If this


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (17 minutes later)
Would this explain why I'm breaking out with acne and fatigued & irritated? Why would there be a discharge now but not before? I have a feeling if it's stress related then it will persist for at least another 4 months. So, I should make an appointment with my OBGYN?
doctor
Answered by Dr. Sameer Kumar (2 minutes later)
Brief Answer:
an examination is warranted, yes

Detailed Answer:
yes , it would be wise to seek an appointment , and a possible ultrasound may be done to rule out any mechanical causes in uterus like uterine polyps whcih can cause such intermenstrual bleeding.

However progesterone levels have to be checked and if required you may be placed on progestins for 10 days from day 15 to day 25 for a period of 6 months as treatment.

regards
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. Chakravarthy Mazumdar
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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What Causes Vaginal Bleeding With History Of Tubal Ligation?

Brief Answer: possible progesterone deficiency Detailed Answer: hello, thanks for contacting healthcaremagic what you are experiecing is called break through bleeding in the middle of the cycle due to a possible progesterone deficiency , which is heavily governed by stress factors during the cycle. ideally , this is seen in many women and tend to cease on its own when the stress levels are low and progestin pills are not required. If this persists for 2 more cycles, then you may get your midcycle serum progesterone levels done to ascertain any deficiency. regards, dr XXXXXXX If this