WOMENS-HEALTH Messages for November, 2000: Re: spotting

Re: spotting - Lynn MD

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 30 Nov 2000 04:10:13 -0600 (CST)

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In reply to: Bekka: "spotting - Lynn MD"

At Thu, 30 Nov 2000, Bekka wrote: >
>Dear Lynn
>
>Thanks for your reply. I have been charting for 6 months and seem to
>ovulate around day 15 (temp shift, cm etc). This is when I'm not
>spotting. Does this offer any other clues?

Well, it is good thing that you are not spotting around the time of potential conception. Further, it is good that the temp charts seem to indicate an ovulatory event approximately when it should. The thing that concerns me is that there is a very orderly manor in which the hormones control the proliferation of the uterine lining through the course of the cycle. Unscheduled bleeding would imply that this orderly process is not proceeding. This kinda indirectly implies a potential concern with regard to ovulation and whether or not it is really occuring. One way to find out is to do a folliculogram. This is when you have a brief ultrasound daily from about day 13 to follow the growth of the follicles and see if one actually ruptures, signaling ovulation. If ovulation is present, then I would not be too concerned about the bleeding. On the other hand, if ovulation is not occuring, then inducing ovulation may remedy the bleeding problem and increase your odds of conception... Lynn >
>>I have been experiencing spotting between periods for 6 months now. I
>>am not on the pill. I normally have 7 to 12 days around the time of
>>ovulation when the spotting stops. My doc has done some routine day 5
>>and day 21 blood tests (LH, progesterone, FSH), both of which are
>>normal. What might be the cause of this spotting? Might it still be a
>>hormonal imbalance even though pro seems normal? Should I be worried? We
>>are also trying to conceive.
>>
>>Thank you
>
>It is a little unusual to bleed with this degree of irregularity in a
>"normal" cycle. I would begin with a temp chart and see if the cycle
>are ovulatory... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Bekka: "spotting - Lynn MD"

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