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I Had Two Periods In April. I Had A TVUS

Posted on Wed, 11 Dec 2019

Question: I had two periods in April. I had a TVUS (see attached report) and it was normal. My cycles were mostly normal since then except sometimes midcycle spotting but not often (which I%E2%80%99ve had in the past and a long time ago had a biopsy which was normsl). This month, however, I had light spotting (only when I%E2%80%99d wipe when using the bathroom) for a week after my period. It stopped for a week. Then I started with light spotting (upon wiping) two days ago. Last night snd today it was a bit more but no need to use a tampon. Can this just be part of perimenopause? My thought is that if it was cancer, I wouldn%E2%80%99t hsve had 6 normal months. I%E2%80%99m also under tremendous, unusual stress in this month of November as I was in April. Thank you.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

I had two periods in April. I had a TVUS (see attached report) and it was normal. My cycles were mostly normal since then except sometimes midcycle spotting but not often (which I%E2%80%99ve had in the past and a long time ago had a biopsy which was normsl). This month, however, I had light spotting (only when I%E2%80%99d wipe when using the bathroom) for a week after my period. It stopped for a week. Then I started with light spotting (upon wiping) two days ago. Last night snd today it was a bit more but no need to use a tampon. Can this just be part of perimenopause? My thought is that if it was cancer, I wouldn%E2%80%99t hsve had 6 normal months. I%E2%80%99m also under tremendous, unusual stress in this month of November as I was in April. Thank you.

Follow up: Dr. Prof. Kunal Saha (3 minutes later)

I see that my whole message doesn%E2%80%99t show up above. Here is the rest of it:

use a tampon. Can this just be part of hormonal changes during perimenopause? My thought is that if it was cancer, I would not have had 6 months of normal cycles. I also had very high stress family situation this 2 past months and last April. Thank you.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
Not concerning

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through your query as well as the attached report and understand your concern. Let me assure you that this spotting is not concerning and can often be seen in the perimenopausal age. It does not indicate cancer and nothing needs to be done about it.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Prof. Kunal Saha (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prof. Kunal Saha (31 minutes later)

Thank you, doctor. Do you the symptoms are not indicative of cancer because my cycle was normal for 6 months? Or do you say that because the report? Or both?
You don't believe a biopsy is needed? Thank you very much.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Follow up: Dr. Prof. Kunal Saha (22 minutes later)

To add to my last follow-up question, the biopsy I had done was in my 30s. I am not 50. I see that some of my words are replaced by digits and so it may have been impossible to read this information in my initial query. Thank you.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Answered by Dr. Prof. Kunal Saha (14 hours later)

Brief Answer:
Does not point to a cancerous cause

Detailed Answer:
Thanks for writing back.

Firstly, in cancer there is a tumorous growth associated with decline in overall bodily condition and weight. You do not complain of such a thing. The next thing is that cancer involves a particular site such as ovary, uterus or cervix. Each has a corresponding presentation. You do not complain of such a thing. Hence I do not suspect such a thing. If apprehensive, I would insist on a gynecological visit. The doctor would be able to examine you clinically and to reassure you accordingly.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Prof. Kunal Saha (0 minute later)

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Prof. Kunal Saha (1 hour later)

Thank you for this thorough explanation. It is very reassuring. Most doctors make it sound so mysterious without explaining as you have.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Thank you for this thorough explanation. It is very reassuring. Most doctors make it sound so mysterious without explaining as you have.

Answered by Dr. Prof. Kunal Saha (14 hours later)

Brief Answer:
Glad to help

Detailed Answer:
I am glad that you liked my approach and answer.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Prof. Kunal Saha (0 minute later)

Brief Answer:
Glad to help

Detailed Answer:
I am glad that you liked my approach and answer.

Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Prof. Kunal Saha (16 hours later)

Hello Doctor,

Since I wrote last, I do have more discharge or spotting and it is brown and thicker.

My last period began on 11/2. Then the week following I had the spotting. Then nothing for a week. Then on 11/19 small amount of spotting. Yesterday and today, more than spotting but not anywhere near the amount of a period. It is a thicker brown. Does this still sound normal and probably perimenopause related? These changes are new and alarming even though the TVUS was normal in April. As you know, I have some anxiety regarding endomerial cancer especially after looking up online brown discharge. Can women just wait for this phase to pass into menopause as long as bleeding isn%E2%80%99t heavy and frequent?

Thank you for your thoughts.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Answered by Dr. Prof. Kunal Saha (11 hours later)

Brief Answer:
Visit a gynecologist with the ultrasound report

Detailed Answer:
I have checked the lower abdominal ultrasound report. I would insist you to visit a gynecologist with the report. They will be able to examine you and suggest if something seems concerning and whether curettage is required. They could also guide you about whether endometrial cancer seems likely.

The situation that you are facing can actually be frequently be encountered by females approaching menopause.

Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Answered by Dr. Prof. Kunal Saha (0 minute later)

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Prof. Kunal Saha (1 hour later)

Hello doctor,

Do you suggest this because I remain apprehensive or because there is something more concerning now?

Thank you

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Hello doctor,

Do you suggest this because I remain apprehensive or because there is something more concerning now?

Thank you

Answered by Dr. Prof. Kunal Saha (39 minutes later)

Brief Answer:
Yes

Detailed Answer:
Since you are apprehensive I would definitely suggest this.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Answered by Dr. Prof. Kunal Saha (0 minute later)

Brief Answer:
Yes

Detailed Answer:
Since you are apprehensive I would definitely suggest this.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Prof. Kunal Saha (12 hours later)

Sorry to ask again, but my appointment is not for a while.

But in your expert opinion, you still don’t think it indicates cancer?

Thanks.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Sorry to ask again, but my appointment is not for a while.

But in your expert opinion, you still don’t think it indicates cancer?

Thanks.

Answered by Dr. Prof. Kunal Saha (4 hours later)

Brief Answer:
Endometrial hyperplasia does not essentially mean cancer.

Detailed Answer:
Endometrial hyperplasia does not essentially mean cancer. So, I would insist you not to panic.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Answered by Dr. Prof. Kunal Saha (0 minute later)

Brief Answer:
Endometrial hyperplasia does not essentially mean cancer.

Detailed Answer:
Endometrial hyperplasia does not essentially mean cancer. So, I would insist you not to panic.

Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Prof. Kunal Saha (46 minutes later)

Do I have endometrial hyperplasia?

The doctor didn’t mention that last April?

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Do I have endometrial hyperplasia?

The doctor didn’t mention that last April?

Follow up: Dr. Prof. Kunal Saha (6 minutes later)

The report of the TVUS didn’t show hyperplasia. I’m confused. Thank you.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

The report of the TVUS didn’t show hyperplasia. I’m confused. Thank you.

Answered by Dr. Prof. Kunal Saha (15 hours later)

Brief Answer:
Same as endometrial thickening

Detailed Answer:
The report shows thickened endometrium which is basically equivalent to endometrial hyperplasia.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Prof. Kunal Saha (0 minute later)

Brief Answer:
Same as endometrial thickening

Detailed Answer:
The report shows thickened endometrium which is basically equivalent to endometrial hyperplasia.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prof. Kunal Saha (15 minutes later)

In your first reply, you said you read the report and said the spotting didn’t require further investigation. What changed your mind?

Also the doctors I saw in April did not say I had endometrial thickening.

I’m wondering what you’re seeing that they didn’t?

Thank you.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Answered by Dr. Prof. Kunal Saha (8 minutes later)

Brief Answer:
Worries need alleviation

Detailed Answer:
I did not change my mind. Spotting itself does not call for investigation and neither than endometrial thickening essentially mean something ominous. Interventions are usually not needed unless heavy flow or menorrhagia is a problem. However, I felt that only a direct clinical assessment could confirm whether things are fine.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Prof. Kunal Saha (0 minute later)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prof. Kunal Saha (10 minutes later)

Thank you for clarification, doctor.

Follow up: Dr. Prof. Kunal Saha (0 minute later)

Thank you for clarification, doctor.

Answered by Dr. Prof. Kunal Saha (5 hours later)

Brief Answer:
Glad to be of service

Detailed Answer:
Glad to be of service

Above answer was peer-reviewed by : Dr. Raju A.T