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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dark Brown Spotting Before A Period?

Ok, so I started taking the birth control Sprintec December 15 2015. I have been taking my pills regularly every single night, have not ever missed a pill. I had a period January 8-14 and February 4-9. My next period was scheduled to come March 2, but ever since Monday of this week, February 29th I have been having really dark brown spotting. First couple days it was just when I wipe, then yesterday it started to show on a pad but it was still very dark brown and not too heavy. I have had some cramping on and off as well. I really don t know what to contribute this to. My husband and I have had unprotected sex 3 times since my last period so I did worry about being pregnant but I never miss my pill. I took 3 pregnancy tests on different days and they were all negative. So what could this be? Is this in fact my period? Is something wrong? I m just really worried because I have never had anything like this before. I ve called my doctor and left a message for her but she has not gotten back to me yet. Please help!
Mon, 11 Apr 2016
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General & Family Physician 's  Response
Hello dear
Understand your concern
I think it is hormonal imbalance or premenstrual symptoms or pregnancy.

Following are the causes of brown spotting:
1. Hormonal imbalance
2. PCOS
3. Endometriosis
4. Pelvic inflammatory disease.
5. Precancerous condition of cervix
6. Atrophic vaginitis

Consult the gynecologist
Go the following test
1. Pelvic examination
2. USG
3. Hormone profile: LH,FSH,HCG Estrogen, Progesterone, thyroid profile, prolactin
Take following advice:
1.Limit caffeine, salt and nicotine
2. Healthy lifestyle
3 Stretching and regular exercise routines will reduce cramping and menstrual pain.
4. Yoga can be extremely helpful to reduce both the physical and mental symptoms
5. Massage can also help both physical and emotional symptoms. also relieve depression, anxiety and panic attacks.
6. Hot baths
7. Sleep of atleast 8 hours
8. Maintain hygiene in pelvic area,wear loose pure cotton underwear.

Hope this may help you
Best regards
Dr. Sagar
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What Causes Dark Brown Spotting Before A Period?

Hello dear Understand your concern I think it is hormonal imbalance or premenstrual symptoms or pregnancy. Following are the causes of brown spotting: 1. Hormonal imbalance 2. PCOS 3. Endometriosis 4. Pelvic inflammatory disease. 5. Precancerous condition of cervix 6. Atrophic vaginitis Consult the gynecologist Go the following test 1. Pelvic examination 2. USG 3. Hormone profile: LH,FSH,HCG Estrogen, Progesterone, thyroid profile, prolactin Take following advice: 1.Limit caffeine, salt and nicotine 2. Healthy lifestyle 3 Stretching and regular exercise routines will reduce cramping and menstrual pain. 4. Yoga can be extremely helpful to reduce both the physical and mental symptoms 5. Massage can also help both physical and emotional symptoms. also relieve depression, anxiety and panic attacks. 6. Hot baths 7. Sleep of atleast 8 hours 8. Maintain hygiene in pelvic area,wear loose pure cotton underwear. Hope this may help you Best regards Dr. Sagar