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Doctors Lounge - Gynecology Answers
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Back to Gynecology Answers List
| emmakatecat
- Sun Nov 13, 2005 7:12 pm |
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Should I be concerned and contact my physician again. Since June, I have had a period of approx. 5-7 days average, upon ceasing I have 3 - 4 days of no discharge. After these 3 -4 days I have a brownish/reddish tinged mucus that I discharge for up to a week and then I resume normallcy. I saw my gyno in July and had a normal pap. He prescribed progest....something to clean me out, stating I apparently hadn't ovulated (the mucusy discharge was present during my exam). I have continued to have the same routine following each period. I was never really regular and am unsure if this is just part of the issue or should I contact my physician again. I am beginning to worry alot and I have lacked interest in sex because I am embarrassed at the discharge and subtle odor each time. Should I be concerned or is this a normal irregular happening. Thank you for your quick attention. I failed to state I am 36 and have born two healthy children with the aid of Clomid for my first following 2 miscarriages.
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| Dr. Tamer Fouad
- Sat Jan 07, 2006 2:43 am |
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 Hello,
Brown discharge usually indicates "old blood".
"Spotting" refers to unexpected bleeding that does not require the protection of a sanitary or a tampon.[1]
Normal spotting is what may occur at the very end of your bleeding days. A day or two of spotting after 3 to 5 days of “bleeding” is normal, and just the end of the bleeding period.
In this case you are just "cleaning out" your uterus/vagina. This may be caused from the uterus not completely shedding the products of menstruation, minor vaginal/cervical trauma during intercourse, hormonal imbalances.
The causes of abnormal spotting vary.
One common cause of spotting is low progesterone. It’s the hormone progesterone that helps to maintain the uterine lining for pregnancy and when progesterone level drops, the menstrual cycle occurs. In women who are deficient in progesterone, they will see spotting several days to a week before their cycle is due. This can also cause minor infertility and early miscarriage.
Another reason spotting may occur could be uterine fibroids, which are fairly harmless, but need to be kept an eye on. Endometriosis, birth control pills are a few other reasons spotting may occur. The most harmful reasons for spotting are possible sexually transmitted diseases and some cancers.
It is advisable if you have recurring spotting each month to have your healthcare provider to exam you, just to rule out possible harmful reasons for it and to help you to deal with and/or cure the reasons behind the spotting.
You mentioned that you continue spotting for a week later. I think you should contact your gynecologist again and let him know that the issue hasn't been resolved yet.
Best regards.
References:
==========
1. Thorneycroft IH. Cycle control with oral contraceptives: a review of the literature. Am J Obstet Gynecol 1999;180(2 pt 2):280-7.
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