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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Spotting?

Dear Dr. Jain,
I suffered an ectopic in 2006 and subsequently underwent and right salpingectomy. I recently got married and I went to see a gynaecologist as I was beginning to experience excruciating pain during my menstrual period. He therefore did a biopsy which was fine and suggested I get pregnant in the near future.

My gynaecologist put me on Primolut. A day after I started spotting. I went back to him and he has now prescribed Primolut N. I am not sure why I am spotting...and he has not explained that. What are these drugs for? He seems to be treating me but i am not sure what for and how it works. Can you help?

Thanks

Tamara
Thu, 11 Feb 2016
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OBGYN,  's  Response
Hi there,
Welcome to HCM,

Pain during menstrual period could be due to a condition called endometriosis. It cant be diagnosed with a biopsy, you may require a laparoscopy to know exactly what is the cause of this pain, especially if it persists.

The primolut is a progesterone hormone tablet and may help with spotting, but again you need to know the cause of spotting.

As long as you are taking the primolut you will not get pregnant.

It's best that you get evaluated thoroughly with a laparoscopy and hysteroscopy which will give a cause for the spotting and pain that you have.

Hope this helps.
Regards.
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What Causes Spotting?

Hi there, Welcome to HCM, Pain during menstrual period could be due to a condition called endometriosis. It cant be diagnosed with a biopsy, you may require a laparoscopy to know exactly what is the cause of this pain, especially if it persists. The primolut is a progesterone hormone tablet and may help with spotting, but again you need to know the cause of spotting. As long as you are taking the primolut you will not get pregnant. It s best that you get evaluated thoroughly with a laparoscopy and hysteroscopy which will give a cause for the spotting and pain that you have. Hope this helps. Regards.