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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Brown Vaginal Spotting After Taking Acetaminophen With Codeine?

I had my wisdom teeth extracted a month ago with IV sedation. I was taking acetemphine with codine and rotating that with ibphrofine for 5 days while also taking amoxicillian for a week and half post surgery. I am now a week late of expecting my period. Last week on monday the 13th I started having light brown discharge that lasted for 5 days til friday the 17th. It is now thursday the 23rd and the light brown spotting started again, but very minimal. I am very bloated and just wondering if being on the medication and healing from sugery would affect my cycle or should I take a pregnancy test?
Fri, 3 Jan 2020
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General Surgeon 's  Response
Hi,

1) Irregular period cycle with brown discharge could be due to Poly Cystic Ovarian Disease, hormonal imbalance, endometriosis, mental stress, and depression, old blood with endometrial tissue, vaginal or pelvic infection, overweight, etc.

In this case, I suggest undergoing some basic investigation to narrow down the causes and confirm the diagnosis.

Do one blood test for beta-hCG to rule out possible chance of conception if you did sex frequently in the last month.

2) On negative test results, I suggest undergoing one pelvic ultrasound scan and complete hormone profile (like Serum estrogen, progesterone, LH/ FSH, serum TSH, Prolactin, Testosterone, DHEAS, etc) to rule out underlying pelvic pathology.

You can consult with your nearest OBGYN for proper guidance.

3) Combined hormonal pills are the mainstay of treatment to regularize your cycle. Some other supportive treatment may be required as per test reports.

Take a healthy diet with LOW carbohydrate and IRON supplements, do light to moderate exercise for physical fitness and to control body weight, avoid mental stress by regular meditation or yoga.

Maintain your genital hygiene properly and a healthy lifestyle always.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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What Causes Brown Vaginal Spotting After Taking Acetaminophen With Codeine?

Hi, 1) Irregular period cycle with brown discharge could be due to Poly Cystic Ovarian Disease, hormonal imbalance, endometriosis, mental stress, and depression, old blood with endometrial tissue, vaginal or pelvic infection, overweight, etc. In this case, I suggest undergoing some basic investigation to narrow down the causes and confirm the diagnosis. Do one blood test for beta-hCG to rule out possible chance of conception if you did sex frequently in the last month. 2) On negative test results, I suggest undergoing one pelvic ultrasound scan and complete hormone profile (like Serum estrogen, progesterone, LH/ FSH, serum TSH, Prolactin, Testosterone, DHEAS, etc) to rule out underlying pelvic pathology. You can consult with your nearest OBGYN for proper guidance. 3) Combined hormonal pills are the mainstay of treatment to regularize your cycle. Some other supportive treatment may be required as per test reports. Take a healthy diet with LOW carbohydrate and IRON supplements, do light to moderate exercise for physical fitness and to control body weight, avoid mental stress by regular meditation or yoga. Maintain your genital hygiene properly and a healthy lifestyle always. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Iven Romic Rommstein, General Surgeon