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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abnormal Vaginal Spotting And PCOS?

-27 year old female pcos -abnoral bleeding spotting -recently prescribed low dose oral contaseptive -day 14 passed small round tissue with long string like attached and spotting -day 21 passed grey tissue 1 ×1/2 thick sponge like appearance with bleeding -day 21 went to er and presented tissue -day 21 neg hcg beta ct. Prognosis/diagnosis unknown, tissue sent to pathology -TODAY- day 23 0f cycle sudden gushing blood expelling every 1/2-1 hour extreme uterine and lower back pressure -Tommorrow- obgyn apt. Still waiting on pathology results
Thu, 15 Jun 2017
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OBGYN,  's  Response
Hello,

I have gone through your query and would like to offer my opinion. Your symptoms suggest a possible endometrial shedding in pieces, though a chemical abortion, which is very unlikely in the current scenario, cannot be excluded. Now, you need to arrest the heavy bleeding with styptics and hormones. A sonogram of the pelvis, preferably in the transvaginal route is to be done to know the status of the pelvic organs. Further management can be planned after the histopathological report.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shanti Vennam
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What Causes Abnormal Vaginal Spotting And PCOS?

Hello, I have gone through your query and would like to offer my opinion. Your symptoms suggest a possible endometrial shedding in pieces, though a chemical abortion, which is very unlikely in the current scenario, cannot be excluded. Now, you need to arrest the heavy bleeding with styptics and hormones. A sonogram of the pelvis, preferably in the transvaginal route is to be done to know the status of the pelvic organs. Further management can be planned after the histopathological report. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shanti Vennam