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What Causes Inter-menstrual Bleeding 11 Months Postpartum?
Question: Hello, I am a 27 year old female who is 11 months Post Pardum. I had my period return 5 months after baby (Breast feed until 4 months) Its been normal 35 day cycle. For the last 3 months I have had abnormal bleeding in-between my periods, last 5-10 days and is all over the place. Will be dried blood, or bright red blood. Super heavy flow and then none at all. I can even feel gushes coming out. I have passed a few dime and nickel size clots as well. After urinating, when I wipe i see what almost look like little pieces of tissue. Maybe the size of a pinhole. This is even when I am not bleeding. I am not pregnant, and my delivery was pretty standard, but part of my placenta stand attached and the doctors just manual removed it. I did have low Iron but did have Iron transfusions to fix this matter. The only abnormal result I have is a higher RDW.
Brief Answer:
You really need a full evaluation from your GYN doctor to rule out GTD
Detailed Answer:
Hello and I hope I can help you today.
Bleeding when you aren't supposed to have your period is always abnormal and needs to be investigated and treated.
However, since you had some regular cycles since the baby was born and before this whole episode started, i highly doubt this bleeding is due to any remnants left of your placenta still inside. Also you mentioned that you aren't pregnant, so I assume you did a pregnancy test at some point and it was negative. Retained placenta or other gestational tissue tends to produce pregnancy hormone, so in that situation your pregnancy test will remain positive.
To properly make a diagnosis you will need (at a minimum) a test of your hormone levels and an ultrasound of your uterus. In that way it can be determined if you are bleeding due to abnormal ovulation, or from a physical issue with your uterus, such as a polyp or fibroid in your uterus. All of those possibilities are treatable it is just a matter of making the correct diagnosis.
So I wish there there was a way to give you a better idea what is going on but I hope the information I gave you was helpful and that I adequately answered your question and please do not hesitate to contact me further if you need any additonal
help.
Best wishes, and I hope you get better soon, Dr. Brown
You really need a full evaluation from your GYN doctor to rule out GTD
Detailed Answer:
Hello and I hope I can help you today.
Bleeding when you aren't supposed to have your period is always abnormal and needs to be investigated and treated.
However, since you had some regular cycles since the baby was born and before this whole episode started, i highly doubt this bleeding is due to any remnants left of your placenta still inside. Also you mentioned that you aren't pregnant, so I assume you did a pregnancy test at some point and it was negative. Retained placenta or other gestational tissue tends to produce pregnancy hormone, so in that situation your pregnancy test will remain positive.
To properly make a diagnosis you will need (at a minimum) a test of your hormone levels and an ultrasound of your uterus. In that way it can be determined if you are bleeding due to abnormal ovulation, or from a physical issue with your uterus, such as a polyp or fibroid in your uterus. All of those possibilities are treatable it is just a matter of making the correct diagnosis.
So I wish there there was a way to give you a better idea what is going on but I hope the information I gave you was helpful and that I adequately answered your question and please do not hesitate to contact me further if you need any additonal
help.
Best wishes, and I hope you get better soon, Dr. Brown
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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