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Spotting, hyperthyroid - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 673 Questions
User :   I am having light brown spots from my vagina for 8 days now. The size of those spots are just 3 tiny drops really not much.Today is 17 th of April and my period starts on April 23. I never had it before. It doesnt itch and I dont have any pain with it. I wonder what could it be?
Doctor :   hi
User :   hello
User :   Hello doctor
Doctor :   Dr. XXXXXXXX here
Doctor :   when was your last menstrual period?
User :   May 23
User :   I mean march 23 started
Doctor :   please provide your age, location, occupation, marital status, height, weight, details of past medical illness if any
Doctor :   have you changed your eating pattern or sleep pattern recently?
User :   I am 31 years old, work in ER in hospital, single, 5'7 166 pounds and having hyperthyroidism but I am taking methimazole for 2 yers now I am am feeling very wel
Doctor :   are you having any of these following symptoms? like increased fatigue, increased sleepiness, tiredness, increased hunger, breast tenderness?
User :   I am 116 pouns
Doctor :   when was the last thyroid status checked?
User :   non of these except breast was tender just one day before blood spots started and then it went away
User :   I check it every 3 months and it is fine
User :   mt doctor said my thyroid is fine now
Doctor :   ok
User :   he even wants me to take off methimazole cause its fine
Doctor :   spotting in hyperthyroidism can happen due to the effects of the excess thyroid hormone on the reproductive hormones
Doctor :   being on methimazole also sometimes leads to spotting as a side effect.. since how long have you been taking methimazole?
User :   for 2 years now but I take it like every 5 day just 5 mg
Doctor :   are you sexually active?
User :   yes i am
User :   I had my sexual act on april 8 right after it started
Doctor :   ok
Doctor :   then i would recommend that you wait and see if the periods on April 23rd starts normally like your usuall period
User :   ok and
Doctor :   and if the spotting stil continues, then doing a pregnancy test would be necessary
Doctor :   to rule out pregnancy as a cause for the spotting
User :   I just did yesterday and I am not pregnant
Doctor :   repeat it again after 7 days
User :   ok
Doctor :   sometimes early test can be negative since the hormone concentration in urine is found low
User :   I just check my urine at home I have a urine strip
Doctor :   also doing a beta HCG blood levels along with a pelvic scan if you dont get your periods on the due date would be more confirmatory
User :   andf it showed white blood cells trace, nitrate is trace
Doctor :   do you have any discomfort in passing urine?
User :   no i dont have any discomfort
Doctor :   is there any burning sensation while passing urine?
User :   nothing hurts
User :   no
Doctor :   ok
Doctor :   since nitrates and WBC's were seen, I wanted to rule out urine infection
User :   oh i see
User :   and also showed some blood in it too
User :   so what i should do
Doctor :   the blood would be due to the spotting
User :   yes
Doctor :   i will tell you
Doctor :   1) get a complete urine analysis done. follwed by
Doctor :   2) beta HCG blood tests and
Doctor :   3) pelvic scan if you do not ge4t your usual periods on April 23rd
Doctor :   also get a repeat check for thyroid and the methimazole effect done
Doctor :   to see if that is teh cause for your spotting
Doctor :   in case pregnancy comes out negative after all these tests
Doctor :   have you followed what I have said?
User :   yes
Doctor :   is there anything else you would like to ask me?
User :   whats is beta hcg tests
Doctor :   they are blood test to check for th epregnancy hormone
Doctor :   and it is a more accurate and standard test than urine preg test.
User :   my gynecologist yesterday did a pap smear and said that i bleed from cervic a little but he said nothing was wrong with mme but he sent samples of smear to lab
Doctor :   ok
Doctor :   then the cervical smear results have to be awaited
Doctor :   the bleeding from the cervix could also be due to the intercourse
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