
I Had Two Periods In April. I Had A TVUS



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.

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.
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

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


You don't believe a biopsy is needed? Thank you very much.

You don't believe a biopsy is needed? Thank you very much.


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

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



Glad to help
Detailed Answer:
I am glad that you liked my approach and answer.
Regards

Glad to help
Detailed Answer:
I am glad that you liked my approach and answer.
Regards


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.

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.
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

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


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

Do you suggest this because I remain apprehensive or because there is something more concerning now?
Thank you
Yes
Detailed Answer:
Since you are apprehensive I would definitely suggest this.

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


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

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

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


The doctor didn’t mention that last April?

The doctor didn’t mention that last April?


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

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


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.

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.
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

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



Glad to be of service
Detailed Answer:
Glad to be of service

Glad to be of service
Detailed Answer:
Glad to be of service

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