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What Causes Thick Pieces Of Skin In Menstrual Bleeding?

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Posted on Wed, 15 Apr 2015
Question: Ok so this afternoon I came home from work and changed my tampon. It was a 'normal' absorbency compact. I've used these for years now. When I took out my tampon there was little blood on it but it had two what I'd call large about 1.5" long by about 0.75" wide and about fairly thick pieces of what appeared to feel & look like skin. I've never had this before & am wondering what these could be. I do have a dx of PCOS and am NOT on any birth control. Hopefully someone can help me with this.
Thanks, XXXXXXX
doctor
Answered by Dr. Dr. Rakhi Tayal (1 hour later)
Brief Answer:
Can be overgrown endometrium.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
If possible, could you procure some formalin solution from a chemist and immediately preserve the tissue, so it could be sent for a biopsy ?
That would yield the most accurate diagnosis.
Otherwise I can list a variety of differentials for you.
First, since you are suffering from polycystic ovaries, sometimes due to delayed cycles, uterine lining is overgrown and when it sheds off, it appears as a skin like tissue.
Another possibility, it could be an early pregnancy, which you miscarried and the skin expelled was the fleshy fetal tissue.
Thirdly, you might have endometrial hyperplasia ( thickening of the lining of the uterus ), an in this condition, you would have prolonged post menstrual spotting and then shedding off of the tissue like this.
An endometrial polyp could shed off this way too.
A very rare possibility is ectopic pregnancy, that is , pregnancy outside the uterus, wherein, a decimal cast like this might be shed off.
The only way to know is to consult a Gynecologist as early as you can, meanwhile preserve the clot if possible, and have it biopsied.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
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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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14043 Questions

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What Causes Thick Pieces Of Skin In Menstrual Bleeding?

Brief Answer: Can be overgrown endometrium. Detailed Answer: Hello, Thanks for trusting us with your health concern. If possible, could you procure some formalin solution from a chemist and immediately preserve the tissue, so it could be sent for a biopsy ? That would yield the most accurate diagnosis. Otherwise I can list a variety of differentials for you. First, since you are suffering from polycystic ovaries, sometimes due to delayed cycles, uterine lining is overgrown and when it sheds off, it appears as a skin like tissue. Another possibility, it could be an early pregnancy, which you miscarried and the skin expelled was the fleshy fetal tissue. Thirdly, you might have endometrial hyperplasia ( thickening of the lining of the uterus ), an in this condition, you would have prolonged post menstrual spotting and then shedding off of the tissue like this. An endometrial polyp could shed off this way too. A very rare possibility is ectopic pregnancy, that is , pregnancy outside the uterus, wherein, a decimal cast like this might be shed off. The only way to know is to consult a Gynecologist as early as you can, meanwhile preserve the clot if possible, and have it biopsied. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal