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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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No Periods, HPT Negative, Discharged Light Pink Dime To Penny Size Disc. Should I Be Concerned?

I am 32, 5 3 and 230 lbs. I have not had a period in two months, taken pregnancy test which showed negative, however, when going pee today, I noticed that there was a small light pink dime to penny size disc that had come out. I also noticed that when I wiped, there was a light pink color to the tissue . Should I be concerned or what could this have been? I have no insurance, so I would like to avoid any doctors unless it is an absolute emergency.
Mon, 4 Nov 2013
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OBGYN,  's  Response
Hi,
Thanks for the query.
Missed periods can occur due to many causes like :
- Pregnancy
-Hormonal imbalance as in poly cystic ovary disease, weight changes, stress and strain etc.
- Thyroid hormonal abnormalities.
- General conditions like anemia, diabetes etc.
The spotting and tissue you had may be indicating onset of periods.
The tissue could be endometrial tissue, which usually sheds out during menstruation.
So you wait and watch for few days, possibly by that time you will get periods.
If you you do not get periods even after one week, better to consult gynecologist once and get evaluated.
Then with her advice you can take tablets to induce withdrawal bleeding.
If you do not want to consult doctor, you can try methods like decreasing the weight, dietary modifications etc.
Possibly they may help to some extent in correcting the cycles.
Take care.
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General & Family Physician,  Dr. Nsah Bernard's  Response
Hello,

thanks for posting on HCM,

The most leading cause of missed period or secondary amenorrhea is pregnancy and if that is ruled out absolutely then other causes can now be ruled out by a gynecologist. There are several pelvic diseases conditions that can cause absence of period such as PCOS (especially in overweight individuals), endometriosis, uterine tumors, hormonal imbalance etc.
First, you will need to book an appointment with your primary care physician who can conduct some basic tests such as a repeat HPT (if possible a dosage of beta HCG), STD screening and a pelvic ultrasound. Ones the cause is determined, then appropriate treatment measures will be put in place and you might even be referred to see a gynecologist.

Hope this helps
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No Periods, HPT Negative, Discharged Light Pink Dime To Penny Size Disc. Should I Be Concerned?

Hi, Thanks for the query. Missed periods can occur due to many causes like : - Pregnancy -Hormonal imbalance as in poly cystic ovary disease, weight changes, stress and strain etc. - Thyroid hormonal abnormalities. - General conditions like anemia, diabetes etc. The spotting and tissue you had may be indicating onset of periods. The tissue could be endometrial tissue, which usually sheds out during menstruation. So you wait and watch for few days, possibly by that time you will get periods. If you you do not get periods even after one week, better to consult gynecologist once and get evaluated. Then with her advice you can take tablets to induce withdrawal bleeding. If you do not want to consult doctor, you can try methods like decreasing the weight, dietary modifications etc. Possibly they may help to some extent in correcting the cycles. Take care.