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Avatar universal

Scared and need advice

I do have PCOS. I was put on Aygestin 5mg twice a day on May 7 and took until July 6. I started bleeding/spotting around June 8 but not everyday. Started having terrible pains mostly the left side during that time. Also on June 9th I found a condom that was stuck in me since May 12. Thats when the bleeding/spotting/pains started. June 23 started with going to the bathroom alot. Bleeding/cramping/spotting continued. After I went for my sonogram on July 2, I had alot of bleeding late in the night it felt like a period because I could feel the "gushes" of blood sorry tmi. But that whole day on July 2 I had no bleeding at all, only until like 10pm when it started again. It seems like I only bleed when I get those pains in around my ovary/uterus area.
Ok so I continued to bleed on and off all last week. Went to my doctor on Monday July 9 because I woke up at 3am in horrible pain in my uterus area. My sonogram results showed no polyps, fibriods, tumors or cysts. He did however tell me I most likely have a UTI. So he gave me Keflex 500mg 4 times a day. He said he wants to do an endometrium biopsy to check for cancer. But he can't do that until I stop bleeding. So he said if I don't stop bleeding then he will have me get a D and C.
Do you think it's cancer?
Could it maybe be an infection from the condom or maybe the UTI because I let it go for so long?
I have stopped bleeding on Friday and no pains too. I feel alot better now, but still worry about it.
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Avatar universal
A related discussion, unusual bleeding? was started.
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Avatar universal
A related discussion, vignal size was started.
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Avatar universal
i am 20. i have never been pregnant and been on  a relationship for 2 years. My boyfriend is my first and only partner. I'm also his first and only partner. about a month ago i;ve started to experience bleeding after sexual intercourses. The first day and the last day of my period have very dark color. i have regular vaginal discharge. Besides these, i have no other symtoms, but the bleeding after sex continues. I tried to make an appointment with my doctor but it will be another 2 weeks untill the appointment time and i 'm really worried right now. Thank you very much for your help
Helpful - 0
242596 tn?1192425949
MEDICAL PROFESSIONAL
Hello,

Sometimes menstrual irregularities can be a sign of a woman's entry into perimenopause or in your case may be due to your diagnosis of PCOS.  Both circumstances result in a woman not ovulating (the ovaries not producing an egg) monthly which can lead to spells of irregular bleeding.  Also, as women age, they may develop polyps within the uterine cavity that can cause abnormal bleeding, or disturbances of the thyroid hormones that can cause irregular bleeding.  Most concerning in a woman with irregular menses is the possibility of cancer forming in the uterus causing irregular bleeding.  if your bleeding is not menses related (e.g., coming from a cervical or vaginal source, an exam will help identify that).

It sounds like your gynecologist has already started the work up.  An endometrial biopsy or dilation and curettage will give them the same information.  Bleeding shouldn't interfere with sampling the endometrium (inside layer of the uterus).  They'll want to make sure you are not pregnant or severely anemic from the bleeding you have been experiencing, check for possible abnormalities with your thyroid hormone, assess your uterus for structural changes such as fibroids or polyps (as you noted), and if you are approximately 35y/o or older, perform an endometrial biopsy (as previously discussed) to look for abnormal cells.  Once all of this is done and the results are back you may have the answer to your question.

And no, the UTI is not related to your menstrual bleeding.

Best regards,

Dr. Downing
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Avatar universal
I forgot to mention: I am 21 years old, never been pregnant. My problems only started in March 2007. I have been to many doctors and even the hosiptal. All sonograms have been normal and blood tests only show that I have Poly Cystic Ovarian Symdrom [PCOS]
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