Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
181 Doctors are Online

Had painful period and discharged a large piece of flesh coloured tissue. Trying to conceive. On progesterone. Suggest?

Mar 2013
User rating for this question
Very Good
Answered by
Practicing since : 1998
Answered : 5956 Questions
Hi, My period this month came on very painfully and I discharged a large piece of flesh colored tissue and since then I haven't had further pain but my period is very light and all brown. I am trying to concieve, is this a cause for concern. Nb I was definitely not pregnant so it couldn't have been related to a miscarriage and I am on additional luteals phase support. - progesterone. Any thoughts?
Posted Wed, 22 May 2013 in Menstruation and Miscarriage
Answered by Dr. Aarti Abraham 43 minutes later
Thanks for your query.
If you are sure you were not pregnant, then we can rule out a miscarriage.
There could be other possibilities -

1. You are on luteal phase support - progesterone is responsible for thickening the lining of the uterus and making it favourable in case fertilization occurs and a fertilized egg or embryo implants on the uterine lining. Hence, if you did not conceive this month, then the thickened lining of the uterus would be shed off, and a decidual " cast " or a mould of the lining of the uterus would be passed out, which often looks like a fleshy piece of tissue, and can be commonly mistaken for aborted tissue.

2. Conditions like polycystic ovaries or endometrial hyperplasia - where periods are delayed due to hormonal imbalance, and then when it does occur, it is painful , heavy and lots of uterine lining is shed off in the form of fleshy casts.

It is not a cause for concern as long as your periods are otherwise regular and this is an isolated event. If it recurs, then you need to consult a gynecologist. ideally, if the tissue had been preserved, you could send it for biopsy to know the cause .
Next cycle if the same thing recurs, you could have an ultrasound around day 21 of your cycle, to know the lining of the uterus and you could request a D and C or endometrial biopsy to confirm the diagnosis.

Take care, and feel free to ask further questions.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor