Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
185 Doctors are Online

What is the reason for irregular bleeding pattern and red stained mucous discharge?

User rating for this question
Very Good
Answered by
Practicing since : 1990
Answered : 232 Questions
I am a 39yo trainee GP (family physician), healthy with BMI 25, have 3 children all born by C-section. Youngest is 19 months old and breastfeeding only morning and evening now, not through the day. My periods returned about 6m after she was born, and are very regular at 26 days between cycles. In the last 3-4 cycles, I have had a strange bleeding pattern with 2 days of light, red blood; then nothing at all (not even spotting) for further 1-2 days, followed by darker red / brown stained mucous taking me out to day 11 - 12 or so of the cycle. There is no bleeding after the mucous changes to the thin stringy ovulation mucous. Is this a common pattern or is an ultrasound (or other investigations) indicated? Thanks
Posted Thu, 19 Apr 2012 in Women's Health
Answered by Dr. Chetna Jain 5 hours later
Dear Dr,

Spotting or any bloody discharge is not normal once menses are over except mid cycle ovulation bleed.

So I suggest you to get the following done:
1. Gynecological examination.
2. Pap smear
3. Trans-vaginal ultrasound

If there are no abnormality in the above tests, you can take a course of antibiotic.

If spotting persists despite the above measures you will have to get an opd endometrial biopsy.

Best wishes.

Above answer was peer-reviewed by
Follow-up: What is the reason for irregular bleeding pattern and red stained mucous discharge? 12 hours later
Thanks for your reply Dr XXXXXXX I do have some followup questions.

Can you call menses over when I have only bled for two days? Previously I would bleed for at least 5 days and sometimes the last brownish discharge would persist to day 7.
I had a normal pap 12m ago (with exam); and my paps have always been normal.
I wondered if fibroids or polyps could block the cervix preventing / partially preventing the outflow of the shed endometrial lining?
I will definitely book an US.

Thanks for your time,

Answered by Dr. Chetna Jain 23 hours later

Thanks for the follow up.

Whatever is the duration of flow monthly cyclical bleed is
menses. The lesser bleeding in menses is unlikely to be due to
blockage from a polyp or fibroid. If so ,the blood collection in
uterine cavity will be seen by ultrasound. A gynecological examination is a must.Please do not avoid that.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor