What Causes Persistent Intermenstrual Spotting And Bleeding With Blood Clots?
Please get properly investigated
Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.
Intermenstrual spotting and bleeding can be due to fibroids, endometrial pathologies like dysfunctional uterine bleeding, endometrial hyperplasia or carcinoma, or due to local lesions in cervix or vagina.
Heavy bleeding in this cycle can be due to the effect of the cycloreg or due to one of the above causes.
Injection of iron do not cause such symptoms.
In my opinion, you should get the following investigations done to determine the cause of abnormal bleeding pattern, before taking any treatment:
1. Pap smear to rule out cervical precancerous or cancerous lesions
2. Uterine endometrial biopsy to rule out its pathologies.
3. A proper internal examination by an OBGYN specialist to rule out any local lesions in the vagina or cervix like polyp.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
Do not panic
Detailed Answer:
Hi dear,
I am sorry if I made you more worried, but it is always advised to confirm the cause of abnormal uterine bleeding in females more than 35 years of age.
If the internal examination and pap smear are normal, then an endometrial biopsy should be done.
Mostly, the cause of such abnormal bleeding in this age group is hormonal changes in the endometrium called dysfunctional uterine bleeding, and it needs medical treatment.
However, endometrial hyperplasia and carcinoma, which are rare possibilities, should be ruled out before proceeding for treatment.
I suggest you not to panic.
Regards
Dr Deepti Verma
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions