Gynecology / Women's Health Expert Forum
Spotting/bleeding between periods
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Spotting/bleeding between periods

I am a 20-year-old female. About 7 months ago, I began spotting between periods. It would happen once or twice a month, in the middle of my menstrual cycle, and would last 2-3 days. The blood was light brown in color. After this happened a couple times, I went to see a gynecologist. When I described it to her, she said it was normal and that it was because I was ovulating, and that it may have been caused by stress. She told me not to worry about it and to come back if it persisted for a few more months. It continued in the same pattern for the next 3 months, so I wasn't really worried.
Usually it would start a week and a half to 2 weeks after my period, but last month it started just 6 days after my period ended. Other than that, though, it was normal and my next period came when it was supposed to. This month, my period ended on a Saturday. That Tuesday, there was a little bit of red blood on the toilet paper when I went to the bathroom, but otherwise nothing. Thursday I started spotting, and it ended Saturday. But Monday when I went to the bathroom, there was red blood on the toilet paper again, and today, there is a lot more of it! It's only when I go to the bathroom. I'm scared, though, because nothing like this has ever happened before!
I don't have cramps or any other kind of pain; I feel normal. My periods have been normal throughout this whole thing. I'm not on birth control or any other kind of medications. I have never been sexually active.
I plan to make an appointment with a gynecologist, but I don't know how soon I can get it and I would appreciate some help/feedback!
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603463_tn?1220630455
Hi!
If you were my patient, I would want to do an ultrasound at this point.  Also, I don't know whether you would ever have had a speculum exam done, and if not, I would want to do this too.  I would be looking for polyps.  Polyps are growths that can develop either within the cervix or endometrium (lining of the uterus).  They are usually benign and usually fairly simple to remove.  They cause irregular bleeding and spotting, and usually keep getting worse until removed.  The hitch here is that you have never been sexually active, so the exam will possibly be difficult.  For that reason, I would want to do the ultrasound first, then depending upon what needed to be done next, I might consider an exam under sedation in the OR.
Hope this helps!
Dr B
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