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Re: MENORRHAGIA: spotting between periods for the first time!!

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Thu, 8 Jan 2009 19:42:45 -0600 (CST)


Lea

No, but a good idea to get progesterone level on 7d post ovulatory to be sure your ovulation is strong enough. If it isn't, you may need some post ovulatory progesterone supplementation...Dr. von Almen

>
>Well I am 3 weeks into my next cycle and have had the exact same
>spotting as last cycle and the first day started on cd12 exactly the
>same as last month except I ovulated 2/3 days earlier this month with
>the second spotting episode in this cycle starting the day of
>ovulation(the same as last month). I know I am ovulating normally so I
>guess my question is do I really have to do anything to stop the
>spotting? Can I still get pregnant if I am clearly ovulating, but
>spotting for days and carry to term or is this something that needs to
>be taken care of? I really don't think I ever had BV. Here's my chart
>if you are able to look at it.
>http://www.fertilityfriend.com/home/1ea4b6
>>>>It could be a lot of things. I doubt it was the exercise, but perhaps
>>>>some hormonal irregularities. I would watch it to see if it happens
>>>>again with your next cycle. Keeping a basal temp chart could help to
>>>>see what your cycle is doing...Dr. von Almen
>>>>>my last mensturual period started on nov. 15th ended with spotting on
>>>>>nov. 21st. Then I began to spot a thick dark brown color from cd
>>>>>12-cd15 the 26th and the 29th being the heaviest with ewcm mixed in.
>>>>>then the spotting began again on cd 20 ( dec 5th) and it is still here.
>>>>>I have not been on bcp in 8yrs. I have never had spotting. Went to a
>>>>>general practioner and said that maybe I have BV, but couldn't tell
>>>>>cause of the bleeding. I've had no abnormal discharge besides the
>>>>>spotting and no smell. she said there was some watery cm during the
>>>>>exam and she said there was quit a bit of blood in my vault?, but I have
>>>>>watery cm alot anyways. My periods usually altenate between 27days and
>>>>>30 days with a few 35 day long cycles. this cycle I was suppose to
>>>>>ovulate around nov. 27th or 28th. Both days the spotting started I had
>>>>>exercised and I don't usually exercise, but it wasn't really strenous
>>>>>and I'm not overweight, slightly underweight. If anyone has any ideas
>>>>>on the spotting that would be great.
>>>>>thankyou

>>>Thankyou for answering. I do keep a bbt chart and have since april. I
>>>seem to be ovulation just fine. I seem to ovulate anywhere between
>>>day13 to day 17. I got all my blood work back and it is normal. They
>>>tested me for chlamydia and that is negative. some of the blood work
>>>was considered high but just above normal range so they called it
>>>normal. How come if she suspected BV she didn't do any lab test for it?
>>>Would my WBC be high if I did have BV? I have pretty much spotted this
>>>entire cycle stopping 2 days ago. I want to exercise, but I have a
>>>feeling the spotting will start again if I do so. I guess that will be
>>>the test. She wanted me to go on BCP, but I am trying to conceive so I
>>>don't want to do that, so she suggested if it happens again next cycle
>>>that shell start me on a 10 day medication that will give me break
>>>through bleeding when its done. What kind of med. could she be talking
>>>about? Thank you so

--
 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 emails cannot be entertained due to time
       constraints; consequently, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.




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