What Causes Frequent Menstruation's With Spotting, Mild Flow And Cramps?

Posted on Tue, 16 Aug 2016

Question: Hello, I have been having a period every two week for a couple of months now with small spotting and pelvic pain in between. I am 35 years old, overweight, no children and am not pregnant or on birth control pills. Since last October, been having irregular periods and off and on cramping. The doctor has ordered me to undergo an endometrial biopsy and am wondering if there is a real chance I could have pre cancer or cancer. (my mother had uterine cancer)

I have visited the doctor, will undergo a transvaginal ultrasound and biopsy but am wondering if the biopsy is necessary or there is a high risk for cancer

Answered by Dr. Sameer Kumar (35 minutes later)

Brief Answer:
polymenorrhoea.

Detailed Answer:
Hello,
Thanks for the query to HCM,
considering your age and obesity , polymenorrhoea or frequent menses ( 2 weekly) in form of spotting to mild flow with cramping can be most likely to be due to luteal phase defect or anovulation secondary to increased insulin resistance due to obesity. The aim should be to get an ultrasound pelvis done to check for endometrial thickness and also to rule out any PCOS or polycystic ovaries. Endometrial biopsy is being advised not for looking for cancer but to check if your endometrium is in phase with your cycle or not. If the biopsy report for histopath turns out to be proliferative endometrium even on day 21 of your cycle then progesterone deficiency shall be confirmed and you would have to be placed on cyclical progesterones.

So , get the transvaginal ultrasound and biopsy done along with a hormonal profile for PCOS.
Regards

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

Follow up: Dr. Sameer Kumar (43 minutes later)

Oh ok, thank you doctor very informative and I appreciate it!

Answered by Dr. Sameer Kumar (5 minutes later)

Brief Answer:
you are most welcome.

Detailed Answer:
You are most welcome.
If you have no further questions, then you may please close the query.
Regards

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