Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

146 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Started spotting after periods. Scan showed a bit of free flowing fluid. Worried about cancer

Answered by
Dr.
Dr. Das Arindam

General & Family Physician

Practicing since :2008

Answered : 1416 Questions

default
Posted on Fri, 14 Dec 2012 in Cervical and Ovarian Cancer
Question: Hi. For the last 3 months i have had irregular periods. I last had a period 5 Oct and since then have had spotting the last time being 16 Nov for approx a week and then only really when i wipe. I went to the doctor who did an XXXXXXX examination but she found nothing. I had swabs taken but they were fine. I have also had blood tests taken which were fine also. I have had a transvaginal scan which showed nothing but abit of free flowing fluid which the doctor siad he would expect to find in someone my age. I have a Meraina Coil which i have had for approx 2.5 years I am really worried this could be cancer?
doctor
Answered by Dr. Das Arindam 34 minutes later
Hello,
Thank you for posting a query.

The irregular period and spotting you described are mainly due to the Mirena coil. Mirena coil is an intrauterine device which secrets progesterone, a hormonal agent. It has some side effects. In our clinical experience, most common side effect is this type of spotting, irregular bleeding and irregular period.

So, in this present situation, with all the normal reports, you do not need to be worried about cancer. But you have to be cautious.

For this side effects of Mirena, you may consult with your gynecologist for its removal and to change over the barrier contraceptive for contraception. In my opinion, that should be better, keeping your age in mind.

You have to do cervical Pap smear regularly. DO it every year. It will let you know, if there is any abnormal changes.

So, consult with your gynecologist for suitability of the Mirena coil.

Hope this information suffices. Let me know, if you have any more question.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Das Arindam 41 minutes later
Hi. I don't understand what you mean to change over to a barrier contraceptive? Also could the coil stop my periods when i have been having the with it for 2.5 years? My cervical Paps have always in the past been normal, i have made one an appt for one next Weds as i am overdue one this year. Could this be a possible cause of my problem?
doctor
Answered by Dr. Das Arindam 1 hour later
Hello,
Thank you for writing back.

Barrier contraceptive means use of condoms for contraception.

No, coil cannot stop your period, even when you are using it for more than 2.5 years.

Any abnormality in the cervix may lead to this type of bleeding. But, you have already been examined by a doctor. As the clinical examine revealed nothing, the chance of any obvious abnormality is very less. Delay in doing Pap smear does not lead to this type of condition.

So, consult with your treating doctor about the coil as I previously told and for ordering a routine pap smear examination.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Das Arindam 1 hour later
I am a bit confused now because in the hospital i asked a nurse if the coil could be resonsible for my periods stopping and the spotting to start and she said yes! She said the majority of people on a coil don't have periods and it take this long for mine to stop or perhaps the most likely cause it needs taking out. Also what is the free flowing fluid that was seen on the scan? I aslo had an xray of my stomach and that was clear.
doctor
Answered by Dr. Das Arindam 19 minutes later
Hello,

Thank you for writing back.

The coil can not cause stoppage of period. If it occurs then it should also be counted as irregular menstruation. Because, this stoppage is not permanent. When the coil is taken out, the condition reverts back to normal.

As I previously told, coil should be taken out. The symptoms are only due to the side effect of the coil.

To comment on the free fluid in scan report, the position should be known. You did not tell us the exact position. In your age group, some free fluid may present in the Pouch of Doglus. It has no specific clinical significance.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,  
Lab Tests
Medical Topics ,  

Recent questions on  Cervix

doctor1 MD

hi im cheresa i had a baby on may 11 2012 i also had my tubes cut because after 11 years they came un tied ansd i got pregnant. ever since ive been bleeding on and off about 20-25 days per month i have severe pain in my abdominal area and my right overy i was put on a med because my blood is sitting in the uterus however i had to move to florida and need a dr i need to know what is going on with me, cancer runs in my family in this area all the females have had it before 30 i am 34. i was told i had 6 cysts on my right overy and 2 on my cervix yet like i said i had to move here due to my other medical conditions so i need help can u please tell me whats going on with my body

doctor1 MD

I dont usually wear tampons but wore one yesterday. When I took it out last last I felt a dull pain when urinating. This morning I went to urinate and felt the same pain. There is no urge to urininate any more than normal or a feeling of not emptying my bladder. Could this be the beginning stages of a UTI or problems from the tampon. I dont find them to be very easy to come out once they're in. My cervix sits very far back.

doctor1 MD

I am 26yr old have 2 children. Youngest is 1yr old. I have hypertrophied cervix due to which I have suffering from repeated urine infection since 2yr.pap test are negative and shows no lesion or malignancy. The doctor suggested to go for cryotherapy. Is it effective? Will it completely heal and problem will not reoccur.? Are there any side effect? Is it painful?

doctor1 MD

hi, my boyfriend and i had unprotected sex back in august. Im still bleeding every month but i dont have clots or cramps and i used to have horrible cramps. I've gained 13lbs but i really don't look pregnant and everyday i feel flutters in my lower abdomen but im not sure if it's just my nerves twiching, my feet swell,i get leg cramps, and sometimes pain in my lower abdomen there are also times when my cervix hurts a little, and i have tons of vaginal discharge.I have taken numerous hpt's all negative and i've been to the doctor's twice once for a urine test and once for a blood pg test when i would have been 8weeks all negative i asked for an ultrasound but was told i could not have one since my results were negative. i do not have health insurance so i have to pay for my doctor's vists out of pocket. Im a little hesitant about having another blood test since the first was negative and it costs me $150. i would currently be 23 weeks if i am pregnant. i have been taking prenatal vitamins just in case. I would be grateful for any advice

doctor1 MD

What should be the normal cervical length during each stage of pregnancy?

doctor1 MD

Dear Madam/Sir My Wife is 15th week pregnant.She is getting burning sensation in eyes during morning which would be ok for rest of the day she started getting this burning sensation from past 7-8 days and she is having dry eyes . Could you please...

doctor1 MD

Hello. I received my period on Monday evening, which typically lasts three days. I am still bleeding a lot, and have cramps, a sore lower back, as if I were in the middle of my cycle. I am worried, and feel something is off. I did have severe pain...