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What Causes Brown Vaginal Bleeding While On Clomid?

Posted on Wed, 4 Feb 2015

Question: Hi Im on 4th round clomid and have had brown blood for last 3. The blood is only there when i wipe its nothing heavy. Im definitely not pregnant. Why is this happening.

Answered by Dr. Rhea Chanda (10 minutes later)

Brief Answer:
hormonal imbalance

Detailed Answer:
Hi,
Clomiphene needs to be taken during menses from day 2-6. So some bleeding should be there. When exactly are you having the bleeding? Please describe your cycle.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rhea Chanda (12 minutes later)

Hi yes ive done that. But my doc said to treat last weeks brown blood as my cycle. I also have an underactive thyroid. My cycles used to be 45 days thdn clomid improved it but im now back to 35 days

The brown blood is coming when there should be red

Answered by Dr. Rhea Chanda (11 minutes later)

Brief Answer:
brown blood

Detailed Answer:
Well, dont worry about the brown blood. Its just accumulated blood thats coming out now. You should be on thyroid medication already. Apart from that, If your cycles are 35 days, thats still acceaptable. But more than that, means that your ovulation cannot be predicted accurately. The usual protocol is taking clomiphene for 5 days during menses, followed by follicular monitoring from day 9. That will show if eggs are being released. It may indicate ovulation. This will be followed by timed intercourse. If you get your period eventually, with brownish blood, dont worry. Thats not a problem. Mid-cycle spotting is also possible but its not an issue of it lasts just a day or 2.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rhea Chanda (2 minutes later)

Yes im on 100mg levotheroxine. Ive read internet and was worried as it said it could be cancer. ...so having brown blood is ok?. Im not being scanned last few months either. As i had been producing 2 follicles at 18mm and 20mm

Answered by Dr. Rhea Chanda (7 minutes later)

Brief Answer:
follicles

Detailed Answer:
Your thyroid medications is ok. Continue taking it. The follicle sizes look good. Ideal would be between 18-22 mm. If required Inj. HCG should be given to aid in ovulation. I hope an HSG xray has been done to determine patency of the tubes.
Brown blood does not indicate cancer. Its seen in other cases too. I suggest you continue the follicle monitoring.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rhea Chanda (25 minutes later)

yes but the hospital are not monitoring me now. a few months ago i took ovitrell but declined it next time
Also I got a letter from hospital saying they will do HSG if I'm not successful getting pregnant. 2 years ago I had a miscarriage then I fell pregnant again. So I know It can happen it's just not happening though

Answered by Dr. Rhea Chanda (13 hours later)

Brief Answer:
monitoring

Detailed Answer:
You see , it's important that you be monitored while you've been taking the medication other wise , it's not possible to say if the medication is working . Ideally all the tests should be done first before planning the management protocol . A block in the tubes can happen anytime even with previous pregnancies . Is suggest you get the HSG and report is favourable then go back on the drugs with complete follicular monitoring . Time will be wasted if you keep taking the drugs and we dont know if you are ovulating .

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar