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What Causes Pink Vaginal Spotting While Having Ovarian Cyst?

Posted on Sat, 19 Dec 2015

Question: hi , i've been having slight pink spotting about 1 1/2 weeks after my period. i spoke with my doctor and he ordered a pelvic ultrasound internal and external. all normal, i have a small cyst on my left ovary, clear fluid and a stage one drop in my uterus as stated in report. i had digital exam by my doctor and he also stated the drop uterus stage one. i would only have very very slight pick discharge maybe every 2 days at the end of the day. this morning after slight for play i experienced a bloody discharge. i have never experienced any pain, or crapping. i had blood test drawn all normal. i have notice some dryness. . he had told me that i would need to be spot free for at least 21 days. i have always had normal paps and negative hpv test.
he had mentioned that i may need a d&c, but i don't have heavy bleeding. about 2 months ago had passed some clots but other than that nothing. please any advise
PELVIC ULTRASOUND

CLINICAL INDICATIONS
HISTORY OF PROLONGED IRREGULAR MENSES

SCANNING TECHNIQUE
TRANSVAGINAL

UTERUS
An anteverted uterus is visualized measuring 96 x 52 x 57mm.

The endometrial lining measures 9.3mm.

OVARIES
The right ovary is not visualized.

The left ovary measures 54 x 33 x 33mm. Within the ovary which comprises
most of the ovary is a clear cyst that measures 36 x 27 x 30mm. Doppler
velocimetry of the cyst wall shows normal resistance.

CUL-DE-SAC
There is no free fluid visualized in the cul-de-sac.

REPORT COMMENTS
A preliminary report was previously generated.

IMPRESSION
CLEAR CYST, LEFT OVARY IN AN OTHERWISE NORMAL APPEARING PELVIC ULTRASOUND

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Interpreted and signed by: XXXXXXX G. XXXXXXX MD
The final status of this report is attestation that the report was reviewed by
an interpreting physician.

------------------------------------------------------------------------------
Site: Magee-Womens Hospital - Cranberry
Operator: TS.348 11/20/2015
Interpreting: JM.018 11/20/2015 Ordering: P:724-934-1717 F:724-778-8110
Transcription: GW.311 11/20/2015 Copy 1:
Signing: JM.018 11/20/2015 Copy 2:
Component Results

There is no component information for this result.
General Information
Collected:

11/20/2015 2:07 PM
Resulted:

11/20/2015 4:49 PM
Ordered By:
XXXXXXX xxxxxxxxxxxxxxxxx

Answered by Dr. Saad Sultan (1 hour later)

Brief Answer:
get the biopsy of endometrium done...

Detailed Answer:
Welcome xxxxxxxxxxx at HCM
I have gone through your query and being your physician I completely understand your health concerns..
It is not normal to have intermenstrual bleeding at the age of 51. Since with ultrasound other causes have been ruled out like fibroids , adenomyosis etc. Also your pap smear and HPV testing appear normal.
So the only option left in order to reach the cause of bleeding is to biopsy the endometrium ( inner lining of uterus) through D&C. It appear quite logical in this setting and I will recommend it for you too. Also endometrial thickness had increased on ultrasound scan.
Cyst in ovary has nothing to do with bleeding and should not bother you much.
Follow your doctor instructions.
Hope your query is adequately addressed, if you still have any feel free to ask
Regards
Dr XXXXXXX XXXXXXX

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Saad Sultan (14 hours later)

Thank you for answering my concerns. Since my endometrial lining has increased what does this mean?

Answered by Dr. Saad Sultan (1 hour later)

Brief Answer:
thickened endometroum after 50 yr raises suspicion of malignancy.

Detailed Answer:
Welcome at HCM
I really appreciate your follow up....

Normally in every menstrual cycle , under the influence of estrogen and progesterone endometrium thickens. And at end , it start shedding in form of menses. This is normal in child bearing age.

After 50 years of age or menopause since estrogen and progesterone levels decreases and stimulus for endometrium to thicken ceases. If one finds thickened endometrium after it, it raises suspicion of any abnormal development including hyperplasia and malignancy. So endometrial biopsy is indicated to look for abnormal changes in cells so that timely intervention can be done.

Hope it helps
Regards
Dr XXXXXXX XXXXXXX

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj