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What Causes Vaginal Spotting During Luteal Phase?
Question: hi, i have been experiencing increased spotting between periods (typically in leutal phase) since we started trying for a baby (since past 2 months) . had high prolactin issues and have been treated for this. Have a bicornuate uterus. What could be my issue.
Brief Answer:
Progesterone deficiency likely
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Spotting in luteal phase is most likely due to decreased progesterone levels in this phase.
However, other causes like local lesions in the cervix and vagina should be ruled out by proper examination internally.
If no lesion is found, then you should be given progesterone supplementation in luteal phase.
That will stop the spotting and facilitate in conception also.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Progesterone deficiency likely
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Spotting in luteal phase is most likely due to decreased progesterone levels in this phase.
However, other causes like local lesions in the cervix and vagina should be ruled out by proper examination internally.
If no lesion is found, then you should be given progesterone supplementation in luteal phase.
That will stop the spotting and facilitate in conception also.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Above answer was peer-reviewed by :
Dr. REMY KOSHY
Thanks doc, I have confirmed through sonography that there are no local lesions/cysts. But I have not taken any medication as my obgyn has prescribed bc pills as an option to regulate hormones and everyone in my family is paranoid abt bc pills and their side effects. are there any other ways/ is it ok to use bc pills for a month for hormone regulation?
How do i check for decreased progesterone levels? I got blood tests done just after my period last month and hormone levels were ok.
Thanks a lot for the support.
How do i check for decreased progesterone levels? I got blood tests done just after my period last month and hormone levels were ok.
Thanks a lot for the support.
Brief Answer:
progesterone levels should be checked in second half
Detailed Answer:
Hi dear, you can use birth control pills for a month to regulate the periods.
No significant side effect occurs in one month.
Progesterone levels should be checked on day 20-21 of the cycle to check for the deficit in the luteal phase.
Regards
Dr Deepti Verma
progesterone levels should be checked in second half
Detailed Answer:
Hi dear, you can use birth control pills for a month to regulate the periods.
No significant side effect occurs in one month.
Progesterone levels should be checked on day 20-21 of the cycle to check for the deficit in the luteal phase.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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