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What Causes Recurring Spotting With History Of Polyps?
Question: Dear Doctor,
How are you? I am writing to you after a two month gap, which means for two months I didn't have any issues. However, strangely enough, today I saw spotting again... :(...Uff...I hate it.
I didn't run to the doctor this time ...although I am concerned. Will take an appointment tomorrow though.
Anyhow, just want to let you know that the first day of my previous period was 6 Mar 15. And as you know, in Nov. 2015 I went through D&C wherein a uterine polyp was diagnosed.
Would like to know what your thoughts about the spotting. Your inputs would definitely help.
Regards,
XXXXXXX
Just wondering
How are you? I am writing to you after a two month gap, which means for two months I didn't have any issues. However, strangely enough, today I saw spotting again... :(...Uff...I hate it.
I didn't run to the doctor this time ...although I am concerned. Will take an appointment tomorrow though.
Anyhow, just want to let you know that the first day of my previous period was 6 Mar 15. And as you know, in Nov. 2015 I went through D&C wherein a uterine polyp was diagnosed.
Would like to know what your thoughts about the spotting. Your inputs would definitely help.
Regards,
XXXXXXX
Just wondering
Brief Answer:
Polyps can recur , but could be ovulatory spotting too, the dates match.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I remember you of course, and your history too.
Well, polyps DO recur, but I would not jump to such a hasty conclusion.
You have just seen spotting today, it could be mid cycle peri ovulatory spotting too.
Let me know how it goes on from here, if you have the kind of spotting pattern that you had previously.
Let us keep a track of it, and then decide if evaluation is necessary.
To be on the safer side, you can book an appointment for an internal exam, a Pap smear, and an ultrasound scan.
Take care.
Polyps can recur , but could be ovulatory spotting too, the dates match.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I remember you of course, and your history too.
Well, polyps DO recur, but I would not jump to such a hasty conclusion.
You have just seen spotting today, it could be mid cycle peri ovulatory spotting too.
Let me know how it goes on from here, if you have the kind of spotting pattern that you had previously.
Let us keep a track of it, and then decide if evaluation is necessary.
To be on the safer side, you can book an appointment for an internal exam, a Pap smear, and an ultrasound scan.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
Thank you for your reply. Today is day 2. I can see that my spotting is turning out into a light bleeding. I had used a panty liner and there was light bleeding. Now I have worn a normal pad. I have to see during the course of the day if it'll become like a normal period.
However, it is very, very strange to have a period this early. I did not have intercourse last month and so there is no chance of being pregnant. I did change the dosage of my thyroid medicine last week. Instead of taking 75microgram, I took 50 microgram. From today onwards I went back to 75microgram. I do not know if change in thyroid medicine can have an effect.
I have an appointment today in the afternoon but due to lot of pressure at work, I am not sure if I can go. Please advice doctor, if with these symptoms do you advice me to go for the appointment today?
Thanks,
XXXXXX
Thank you for your reply. Today is day 2. I can see that my spotting is turning out into a light bleeding. I had used a panty liner and there was light bleeding. Now I have worn a normal pad. I have to see during the course of the day if it'll become like a normal period.
However, it is very, very strange to have a period this early. I did not have intercourse last month and so there is no chance of being pregnant. I did change the dosage of my thyroid medicine last week. Instead of taking 75microgram, I took 50 microgram. From today onwards I went back to 75microgram. I do not know if change in thyroid medicine can have an effect.
I have an appointment today in the afternoon but due to lot of pressure at work, I am not sure if I can go. Please advice doctor, if with these symptoms do you advice me to go for the appointment today?
Thanks,
XXXXXX
Brief Answer:
Please let me know few more things.
Detailed Answer:
Dear XXXXXXX,
Please tell me a few things .
WHen was your last menstrual period ?
When did you expect one next ?
Why did you switch thyroid medication dosages ?
Apart from the issue with the polyp, have you ever had irregular spotting / bleeding or an erratic period earlier ?
And last, if you do not go for your appointment today, when would you be able to do it next ?
Please let me know these answers, and I would tell you what to do next.
Take care.
Please let me know few more things.
Detailed Answer:
Dear XXXXXXX,
Please tell me a few things .
WHen was your last menstrual period ?
When did you expect one next ?
Why did you switch thyroid medication dosages ?
Apart from the issue with the polyp, have you ever had irregular spotting / bleeding or an erratic period earlier ?
And last, if you do not go for your appointment today, when would you be able to do it next ?
Please let me know these answers, and I would tell you what to do next.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
My last period was on 6 Mar 15.
I am expecting another around end of next week.
I had basically finished my thyroid medicine and I had only the 50 microgram. So I just continued with that till getting the 75 microgram.
I did have irregular spotting and bleeding many years ago when my thyroid had started, that is around 5 years back.
I can go today also, but only due to work reasons I was contemplating. If I don't go today I can try to go in another 2-3 days.
Doctor, I also wanted to just let you know that in 2013 my right ovary was removed as it had a borderline tumor.
Your inputs would definitely help me.
Thanks,
XXXXXX
My last period was on 6 Mar 15.
I am expecting another around end of next week.
I had basically finished my thyroid medicine and I had only the 50 microgram. So I just continued with that till getting the 75 microgram.
I did have irregular spotting and bleeding many years ago when my thyroid had started, that is around 5 years back.
I can go today also, but only due to work reasons I was contemplating. If I don't go today I can try to go in another 2-3 days.
Doctor, I also wanted to just let you know that in 2013 my right ovary was removed as it had a borderline tumor.
Your inputs would definitely help me.
Thanks,
XXXXXX
Brief Answer:
As below
Detailed Answer:
Well, this could be an earlier period, that you are having.
Yes, shifting thyroid medication dosages can do that in all likelihood.
NEVER titrate your thyroid medication dosages by yourself.
Also, get the levels checked every 6 weeks atleast, to know if proper dosage is being taken.
See, basically the point of the appointment is to see if the polyp has come back.
So if you are bleeding significantly, an internal exam would not be possible.
Also, you are busy today.
So why not book an appointment after a few days when the bleeding has stopped, or atleast come down to mild spotting ?
There is no real emergency for a check up right away.
Keeping in mind the history of the borderline ovarian tumour, one should never neglect any erratic vaginal bleeding.
I think this has happened because of the alteration in thyroid dosages, so start taking the correct dosage.
Wait for 3 - 4 days to see if this bleeding stops or spotting persists.
And then, irrespective of the outcome, have a checkup and ultrasound scan as soon as bleeding stops or lightens.
Also , when was your last Pap smear ?
If it was more than 6 months ago, please get that done too.
Hope this helped you.
Good day!
As below
Detailed Answer:
Well, this could be an earlier period, that you are having.
Yes, shifting thyroid medication dosages can do that in all likelihood.
NEVER titrate your thyroid medication dosages by yourself.
Also, get the levels checked every 6 weeks atleast, to know if proper dosage is being taken.
See, basically the point of the appointment is to see if the polyp has come back.
So if you are bleeding significantly, an internal exam would not be possible.
Also, you are busy today.
So why not book an appointment after a few days when the bleeding has stopped, or atleast come down to mild spotting ?
There is no real emergency for a check up right away.
Keeping in mind the history of the borderline ovarian tumour, one should never neglect any erratic vaginal bleeding.
I think this has happened because of the alteration in thyroid dosages, so start taking the correct dosage.
Wait for 3 - 4 days to see if this bleeding stops or spotting persists.
And then, irrespective of the outcome, have a checkup and ultrasound scan as soon as bleeding stops or lightens.
Also , when was your last Pap smear ?
If it was more than 6 months ago, please get that done too.
Hope this helped you.
Good day!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
Thank you for your reply. Yes, I would cancel today's appointment as I am having light bleeding. Will take the appointment when the bleeding reduces.
I didn't do any PAP smear in a very long time now. Maybe around 2 years. So I will definitely ask for one to be done.
With regards to the borderline tumor, I am due for the scan next month. However, my previous scans which were done in Dec. were all clean and my CA125 was 5. So I do hope and pray that this vaginal bleeding will not be associated to the borderline.
Will let you know about how the bleeding goes.
Regards,
XXXXX
Thank you for your reply. Yes, I would cancel today's appointment as I am having light bleeding. Will take the appointment when the bleeding reduces.
I didn't do any PAP smear in a very long time now. Maybe around 2 years. So I will definitely ask for one to be done.
With regards to the borderline tumor, I am due for the scan next month. However, my previous scans which were done in Dec. were all clean and my CA125 was 5. So I do hope and pray that this vaginal bleeding will not be associated to the borderline.
Will let you know about how the bleeding goes.
Regards,
XXXXX
Brief Answer:
Take care.
Detailed Answer:
Hi again.
A Pap smear also is done when the bleeding is gone.
So makes sense to postpone the appointment.
I do not think the bleeding is associated with the ovarian issue.
If at all, maybe the polyp.
And not even that, I think it maybe due to the thyroid trouble.
Dont worry, keep me posted about the bleeding and how your appointment goes.
Take care.
Take care.
Detailed Answer:
Hi again.
A Pap smear also is done when the bleeding is gone.
So makes sense to postpone the appointment.
I do not think the bleeding is associated with the ovarian issue.
If at all, maybe the polyp.
And not even that, I think it maybe due to the thyroid trouble.
Dont worry, keep me posted about the bleeding and how your appointment goes.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
I just wanted to know if I am indeed bleeding due to thyroid problem (assuming that I don't have any other recurrent health problem), how many days should I expect to bleed? And should I expect it to be a light bleeding or a normal period?
Your advice would help me.
Thanks,
XXXXXX
I just wanted to know if I am indeed bleeding due to thyroid problem (assuming that I don't have any other recurrent health problem), how many days should I expect to bleed? And should I expect it to be a light bleeding or a normal period?
Your advice would help me.
Thanks,
XXXXXX
Brief Answer:
As below
Detailed Answer:
Well, thyroid disorders can cause irregular cycles.
So this could be a period that is earlier than usual.
In that case, you can expect to bleed for as many days as you would, during a normal period.
Also, thyroid problems can cause mild mid cycle spotting too, so actually there is no way to predict how long you would bleed.
We can just go along with the days and see how it proceeds.
Take care.
As below
Detailed Answer:
Well, thyroid disorders can cause irregular cycles.
So this could be a period that is earlier than usual.
In that case, you can expect to bleed for as many days as you would, during a normal period.
Also, thyroid problems can cause mild mid cycle spotting too, so actually there is no way to predict how long you would bleed.
We can just go along with the days and see how it proceeds.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
Just wanted to drop in an update about my bleeding.
- 23rd afternoon: spotting started
- 24th: developed into bleeding like a period bleeding.
- 25th: still bleeding like a period bleeding, however already reducing.
My impression is that this is a period bleeding because I can see the usual light uterine tissue discharge which is normally associated with period blood. also, I had slight cramps which are again associated with periods. However, this period is definitely a lighter one in comparison to my usual period.
Will keep you posted.
Kind regards,
XXXXXX
Just wanted to drop in an update about my bleeding.
- 23rd afternoon: spotting started
- 24th: developed into bleeding like a period bleeding.
- 25th: still bleeding like a period bleeding, however already reducing.
My impression is that this is a period bleeding because I can see the usual light uterine tissue discharge which is normally associated with period blood. also, I had slight cramps which are again associated with periods. However, this period is definitely a lighter one in comparison to my usual period.
Will keep you posted.
Kind regards,
XXXXXX
Brief Answer:
It does sound like a period.
Detailed Answer:
Hi again.
I too think that this is an earlier / lighter period, most probably due to the shifting in thyroid medication dosage.
Dont worry much.
Just have an evaluation as soon as the bleeding stops.
Take care.
It does sound like a period.
Detailed Answer:
Hi again.
I too think that this is an earlier / lighter period, most probably due to the shifting in thyroid medication dosage.
Dont worry much.
Just have an evaluation as soon as the bleeding stops.
Take care.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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