What causes inter menstrual bleeding?

Posted on Tue, 23 Sep 2014
Question: Hi. I'm a 41 yr. old women with 3 children and I am experiencing bleeding 16 days after my last period started. I just got over a bout of gastroenteritis about a week ago (not sure if it was food poisoning or stomach flu). I have regular pap smears which have been normal for the past 15yrs or so. I also had an endometrial biopsy in Feb of 2013 for some spotting which came back normal. I have been under a lot of physical & emotional stress lately and I suffer from anxiety which is not helping my situation. The spotting started yesterday after I had diarrhea after eating a big meal (stomach probably not back to normal). I wore a pad all day today with minimal bleeding on it by the end of the day. I called my gyno and she said if it doesn't go away in a week she'll do a biopsy. I'm very worried about cancer.
Answered by Dr. Aarti Abraham (32 minutes later)
Brief Answer:

Detailed Answer:
Thanks for writing to us with your health concern.
IF it does not go away in a week, you should have an internal exam, a repeat Pap smear, a pelvic sonogram and a biopsy IF indicated.
At 41, mild spotting is nothing to get so worried about.
There are so many factors that could have led to the spotting - anxiety, your recent sickness, stress, seasonal changes.
At 41 anyway, hormonal flucutations are common as peri menopause approaches.
In the workup, get your hormones too checked - thyroid hormone levels in particular.
None of your symptoms fits in with cancer, please do not worry.
Have an assessment since that will assuage your anxiety.
All the best
Please feel free to discuss further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Aarti Abraham


Practicing since :1998

Answered : 6010 Questions


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