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

158 Doctors Online
Doctor Image
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.

What causes irregular vaginal bleeding and spotting?

Answered by
Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5070 Questions

Posted on Wed, 15 Mar 2017 in Pregnancy
Question: I am 48 years old. I still have regular periods. I have become sexually active over the past 3-4 months. After about a month or 2 of sexual activity, I began to have light spotting in between periods and, even when I wasn't on my period, my breasts seemed very swollen.. Do I need to see a doctor? I had essure sterilization at age 38.
Answered by Dr. Deepti Verma 27 minutes later
Brief Answer:
Yes, you should consult an OBGYN specialist

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
Irregular bleeding and spotting can be due to hormonal disturbances, or local lesion in the cervix or vagina, including malignancy.
A proper local examination , ultrasound, hormonal levels and pap smear should be done to confirm the diagnosis and further treatment should be done accordingly.
Breast tenderness is most likely due to hormonal changes.
I Will suggest you to consult an OBGYN specialist for proper examination and treatment accordingly.
Hope you found the answer helpful.
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Kampana

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Lab Tests

Recent questions on  Pap smear

doctor1 MD

Hello, my left side of my mons pubis is swollen i noticed this 2 days ago why could this happen i did recently got on the birth control implanion before that i also got a pap smear done i dont know if either of those could be the reason please help thank u.

doctor1 MD

i had a pap smear done and no scar tissue, i had a complete hysterectomy in 2004 i spot blood time to time, and i have lots of heart burns help need answers. im 44 years old. could i have acid reflux, i have a lump in neck, it is a lymph node, non cancerous, but gets flat, then comes back, very visual, help

doctor1 MD

Hello I have been on ortho evra patch for 2 1/2 years now. I started my third patch Sunday and have had some mild cramping since then. I normally only begin to cramp once the patch is off never on. Today I noticed a pinkish clear discharge whenever I wipe after using the restroom. I had a normal pap smear with my yearly exam 2 months ago. Could it be late breakthrough bleeding or something else?

doctor1 MD

Hi, I have very dark brown discharge (going to blackish) at the beginning of my period. This has been happening for about two years. I had my pap smear test twice, and also had D&C twice, and what was removed from the uterus lining was sent for test and the results came out okey. For all these 2 years my period was coming earlier and irregularly like 14 days, 21 days, but this month it has started on the 30th day. What does the discharge mean? What does the frequent periods mean?

doctor1 MD

On 2014 i Had a TVS. Result was normal Pelvic utz. Fibroid is 21mm x 10 anterior subserosal. Is this cancerous? I’ll have it check after 3 years after my 2014 UTZ. Should I be scared? Im so worried.

doctor1 MD

Hi, I’m a difficult case. I’m 53, unsure about menopause because I was bleeding daily for a few months. My regular gynecologist could not do a pap smear on me because he could not get to my cervix . I’m told I have a long cervix. He sent me to see...

doctor1 MD

Hi I've had light bleeding for almost 2 weeks now it started as light pink then orangish red and it turned darker red but i only bleed in the early day then stop then start the next morning. What is going on?