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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Got Birth Control Shot. Getting Irregular Periods And Rectal Bleeding, No Pain. Chances Of Pregnancy?

Hi, a while ago I got the birth control shot, I only got it a total of 4 times, I ve gotten my period since but they are never regular and when I get my period I reallly got it. Its been 4 month since I got my period and sometimes I have rectal bleeding , no pain and it only bleeds when I sit on the toliet, usually. I don t know what s wrong, can anyone help? There is also no chance of me being pregnet, I am gay and have not cheated.
Tue, 27 May 2014
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OBGYN 's  Response
The rectal bleeding in the irregular periods are not related. They are two separate problems. The most likely cause of rectal bleeding is hemorrhoids however it is important to rule out cancer. Some hemorrhoids cannot be seen externally because they are inside, which is why you may not be aware of them except by bleeding. You need to get this evaluated by a doctor.
Onto the irregular periods. If your cycle was irregular before you started Depi then there is no reason that they would be regular now. However if your cycle was always regular without birth control pills or other medicine prior to starting Depo it can take a full year for regular cycles to reestablish.
If it has been more than a year since you had a get depo shot then rhe most common reason for regular menses to become irregular is significant weight gain. Other common reasons are thyroid abnormalities or an elevated prolactin level. Those two can be evaluated by laboratory tests. Regular menses will resume when the underlying problem is treated.
Untreated irregular periods can eventually lead to endometrial cancer especially in overweight individuals but even in regular weight ones. I suggest that you follow this up.
Thank you for your confidence and I hope these answers are helpful.
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Got Birth Control Shot. Getting Irregular Periods And Rectal Bleeding, No Pain. Chances Of Pregnancy?

The rectal bleeding in the irregular periods are not related. They are two separate problems. The most likely cause of rectal bleeding is hemorrhoids however it is important to rule out cancer. Some hemorrhoids cannot be seen externally because they are inside, which is why you may not be aware of them except by bleeding. You need to get this evaluated by a doctor. Onto the irregular periods. If your cycle was irregular before you started Depi then there is no reason that they would be regular now. However if your cycle was always regular without birth control pills or other medicine prior to starting Depo it can take a full year for regular cycles to reestablish. If it has been more than a year since you had a get depo shot then rhe most common reason for regular menses to become irregular is significant weight gain. Other common reasons are thyroid abnormalities or an elevated prolactin level. Those two can be evaluated by laboratory tests. Regular menses will resume when the underlying problem is treated. Untreated irregular periods can eventually lead to endometrial cancer especially in overweight individuals but even in regular weight ones. I suggest that you follow this up. Thank you for your confidence and I hope these answers are helpful.