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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Once In A Year Periods With Heavy Bleeding But Off Late, Brown Spotting Observed With Little Blood At Times. What Could Be The Reason?

I have very irregular periods like maybe once a year they r always extremely heavy and a full week now all the sudden these last few days I have been spotting brown sometimes there's a little bit of blood and my tummy feels kind of queasy but not really sick had a couple cramps which I have never had before either ...???
Tue, 31 Dec 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Irregularities of menstruation are commonly seen due to hormonal imbalances in body.
In a normal menstrual and ovarian cycle, the first half is under the influence of estrogens.
Estrogens help in proliferation of the ovarian follicle and the endometrial lining.
The second half after the ovulation is under the influence of progesterones.
Progesterones are responsible for bringing about secretory change in the endometrium.
At the end of the secretory phase, there is fall in both estrogens and progesterones leading to menstruation.
Any abnormality in the balance of hormones will lead to menstrual irregularities.
You need to consult your gynecologist for clinical examination and endometrial biopsy.
Examination of the endometrial biopsy will determine any change in the endometrial stroma and glands and this will be compared with the stage of the ovarian or endometrial cycle.
Further management will depend on the result of the biopsy report.

Thanks and take care
Dr Shailja P Wahal
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Infertility Specialist Dr. Mahesh Koregol's  Response
Hi,

It is normal to have irregular periods once in a while like once a year. There is nothing to worry. Sometimes retained endometrial tissues comes out as tiny brown spots which is normal and not to be worried. Cramps are because body is trying to push out this endometrial tissue

Regards,
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Once In A Year Periods With Heavy Bleeding But Off Late, Brown Spotting Observed With Little Blood At Times. What Could Be The Reason?

Hello and welcome to HCM, Irregularities of menstruation are commonly seen due to hormonal imbalances in body. In a normal menstrual and ovarian cycle, the first half is under the influence of estrogens. Estrogens help in proliferation of the ovarian follicle and the endometrial lining. The second half after the ovulation is under the influence of progesterones. Progesterones are responsible for bringing about secretory change in the endometrium. At the end of the secretory phase, there is fall in both estrogens and progesterones leading to menstruation. Any abnormality in the balance of hormones will lead to menstrual irregularities. You need to consult your gynecologist for clinical examination and endometrial biopsy. Examination of the endometrial biopsy will determine any change in the endometrial stroma and glands and this will be compared with the stage of the ovarian or endometrial cycle. Further management will depend on the result of the biopsy report. Thanks and take care Dr Shailja P Wahal