Question: Hi, I have a very confusing question, so I am going to try to give you as many details as possible (probably too many). :o)

I had a Novasure Ablation done exactly four years ago due to very heavy, LONG periods and haven't seen a spot of blood until last month (January, 2013). The blood was VERY dark brownish/blackish and was extremely light for about 5 days. Light enough that I didn't even need a panty-liner, just saw it upon wiping after urinating. After 5 days, I did not see this spotting anymore. UNTIL....9 days ago. Same thing with the dark colored blood, but a little bit heavier. Still not enough blood to even need a panty-liner, but I see it periodically when I wipe. My question is, should this be going on for 9 days now? In the past, my cycle has been a longer one than most people I know....typically, I bled heavily for about 4 to 5 days and then tapered off with the same brown color for another 2 to 3 days. I called my doctor and she said that there was nothing to worry about, as long as I wasn't spotting in between these "light periods" and that it's probable that my endometrial lining has started to rejuvenate. She also said that she wasn't concerned about the color. What I did NOT know at the time of leaving her a message, was that I would still be doing this "light spotting" for 9 days in a row. (It is definitely lighter, but it's still there.)

I question if any of the following could be mitigating factors:

1) A couple of months ago, started taking Zoloft for Generalized Anxiety/Panic Disorder.
2) Have lost 11 pounds (on purpose, through Weightwatchers and daily exercise) since XXXXXXX 1st.
3) Have started taking Vitamin E to minimize lumpiness and discomfort in my breasts.
4) Have been more anxious and more stressed in the last 2 months than I can ever remember.
5) Started taking 2000mg/day of Vitamin D, due to a deficiency as noted on periodic well check-up blood tests 2 months ago.

I do take other medication for anxiety and high cholesterol and I am 41 years old. I had an abdominal CT Scan 3 months ago as a follow-up for Ideopathic Microscopic Hematuria that's been there for approximately 20 years and it was perfectly normal. Also, had full bloodwork done about 2 months ago at a periodic well check-up. All was normal except for the Vitamin D deficiency that I mentioned above.

I am one of the most anxious people I know. My OBGYN says that I don't need to see her until my annual appt. which isn't until the end of March. (This decision was made based on all of the information above, except for her knowing the length (9 days) of this period.) I am convinced that I must have some sort of cancer and that it will spread during the timeframe between now and when I see her in March. And again, I must remind myself that even PRE-ablation, I had LONG periods....sometimes as long as the one I am having right now.

So in a nutshell, is this normal? What should I do next and what could be causing this long period of spotting?

Thanks so much for your help and insight.
Also, just an fyi....my uterus/cervix are EXTREMELY tilted. It's to the point that my doctor can hardly find my cervix when it comes time for my papsmear. Didn't know if this could be "hindering" the blood from all coming out at once, thus taking longer than usual and also, making it "old blood" and thus, brownish, black.
XXXXXXX

Wouldn't you know that my bleeding started tapering off after I wrote to you last night and is pretty much gone today! Just my luck! Could it be that a 9 day light period may be the new normal for me? Or, if it lasts 9 days again, do I need to go to the doctor? I understand that if I spot "in between" periods or after intercourse, it's straight to the doctor. But if after four years, no periods due to ablation, and now they've started up again, could 9 days be the new norm if it is consistent throughout my future periods? Should I expect for the bleeding to become heavier as time goes by, due to increased growth in the endometrium? Just wanted to know how to respond should these potential possibilities. Thank you again for your help. I still think it's funny that I'd stopped bleeding once you wrote me back....isn't that just the way the world works! :o) Thank you again for your help! I have one more question. Would the Abdominal CT Scan that I had back in October have shown uterine, ovarian or breast cancer? I see conflicting reports on the computer and I was just curious. Thanks again for your help!
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Would the Abdominal CT Scan also show growths in my breast? I am seeing different answers and don't know the answer. Not that I feel any lumps....just curious if they were seen on the Abdominal CT Scan. I can't seem to find a straight answer. I have my yearly mammogram in March and I'm nervous. Hoping that if the CT saw my breasts and the CT came back normal, then it's a positive thing as I go into my mammogram in about a month. Thanks so much! XXXXXXX

Thank you so much, Dr. Tayal. I have my yearly mammogram scheduled the first week of March...was just curious if the CT I had would have seen anything. I think I was just trying to comfort myself that since my CT scan didn't show an abnormalities, if it scanned my breasts, then I should have good results with my March mammogram. Once again, this is my anxiety creeping up on me. It really can be quite debilitating. Your answers have provided me with a great deal of comfort and I really appreciate it. I will definitely contact you again should I have additional questions. If you'lll reply back to me, I will be happy to rate the quality of the answers you gave me. Since I wrote you back, it's no longer giving me that as an option, so I think you have to respond to me for that button to come up to give me the option to rate your services (which were great!) Thank you again! XXXXXXX