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What Causes Pre Menstrual Bleeding?
Question: I have had irregular bleeding in between my periods the last few months. Usually it is midway to 1 week before my period and only lasts one day. It is enough to have to use tampons. When my period comes it lasts a 5-6 days and seems normal. My OB has done an ultrasound (negative) and has recommended a hysterosalpingogram like test-except it is under ultrasound. It sounds painful. What could be causing the bleeding and is it worth doing the test?
Brief Answer:
AS BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I cannot figure out what test you are talking about.
It might be one of two things.
ONe is a hysteroscopy guided D and C.
This is not done under ultrasound guidance, but under direct laparoscopic vision, and a piece of uterine lining is picked up and sent for biopsy.
The other could be a plain D and C, sometimes, some doctors do it under ultrasound guidance.
Basically, in both procedures, a sample of uterine tissue is taken and sent for evaluation.
It sounds painful, but I assure you it is not, it is a simple few minutes procedure and adequate anesthesia ( pain killers ) would be provided.
The pre menstrual bleeding could be caused by a polyp, thickening of uterine lining ( endometrial hyperplasia ) due to hormonal imbalance, endometriosis etc.
Yes , it is worthwhile doing the test.
Also, can you upload the ultrasound scan report that has been done so far ?
Also thorough internal evaluation ( per vaginum and per speculum ) should be done.
Hormonal levels should be measured - FSH , LH, TSH, Prolactin, DHEAS, Free Testosterone.
Stress, anxiety, weight gain, erratic eating or sleep , alcohol, smoking , travelling - all these can sometimes cause irregular cycles.
Wellbutrin and Zoloft too interfere with normal cycles.
All the best.
Please feel free to discuss further.
AS BELOW
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
I cannot figure out what test you are talking about.
It might be one of two things.
ONe is a hysteroscopy guided D and C.
This is not done under ultrasound guidance, but under direct laparoscopic vision, and a piece of uterine lining is picked up and sent for biopsy.
The other could be a plain D and C, sometimes, some doctors do it under ultrasound guidance.
Basically, in both procedures, a sample of uterine tissue is taken and sent for evaluation.
It sounds painful, but I assure you it is not, it is a simple few minutes procedure and adequate anesthesia ( pain killers ) would be provided.
The pre menstrual bleeding could be caused by a polyp, thickening of uterine lining ( endometrial hyperplasia ) due to hormonal imbalance, endometriosis etc.
Yes , it is worthwhile doing the test.
Also, can you upload the ultrasound scan report that has been done so far ?
Also thorough internal evaluation ( per vaginum and per speculum ) should be done.
Hormonal levels should be measured - FSH , LH, TSH, Prolactin, DHEAS, Free Testosterone.
Stress, anxiety, weight gain, erratic eating or sleep , alcohol, smoking , travelling - all these can sometimes cause irregular cycles.
Wellbutrin and Zoloft too interfere with normal cycles.
All the best.
Please feel free to discuss further.
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. Chakravarthy Mazumdar
Answered by
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