Abnormal bleeding

[Oakland923]

I'm 53 (almost 54) y.o.   My mother is longterm ovarian cancer survivor. I have personal history of endometriosis, benign ovarian cysts, PMS.
Had quite irregular periods for a few years.  Last time I had what I’d consider a regular period was nearly 14 months ago, June.  
I’d been taking progesterone for several years and continued this fall/ winter.

Had what I’d call spotting about four months apart (Oct. and March).

Had regular gyn. exam in Oct., then transvaginal ultrasound (done by OB) in April. She said uterus looked fine, noted small cyst on left ovary.  Said stop progesterone for awhile.

Biopsy revealed partial benign polyp, no evidence of hyperplasia or malignancy.
Obgyn wanted to do sonohysterogram (and mentioned some type of surgery.) I did not do that.

No more spotting spring/ early summer. After consulting with family doctor I had another transvaginalultrasound at a hospital in July.

Ultrasound report: 1.7 x 1.4 x 1.6 cm fibroid in uterine fundus. Endometrium 6mm. A “filling defect” that may represent a polyp or septation.
Ovaries average in size. Small cyst on the right ovary. [Previous cyst on left ovary gone.]
Bloodwork: FSH 28.8, LH 44.5, Estradiol 186.7, progesterone .06

Family dr. consulted with an obgyn who suggested a D & C.
But my original Obgyn now seemed less concerned, said the results indicated I was having “irregular cycles.” OTOH  when I asked about resuming progesterone, she agreed, said to take it every 4 - 6 weeks but she’d want to do sonohysterogram if I had bleeding.

Six days after starting progesterone I’ve had some bleeding again.

My gut instinct is that there’s nothing seriously wrong. But I don’t know if the spotting is hormonal or caused by the polyp (or the fibroid?). I’ve also had a lot of other stress in my life: family deaths, illnesses, financial concerns.

My next regularly scheduled obgyn appointment would be in two months, October. I’m trying to decide if I should followup now or wait until then.

[PerimenoWorried]

I read another post in the medically answered boards where the official doc for these boards had told someone else that a couple of months wouldn't make a difference one way or the other.  I'm not sure that the answer would be the same but, I would think that waiting to see what happens and going for your regular scheduled appointment would be fine.  It could be that given gynecologist's schedules, even were you to try to bump up that appointment now, you'd likely not be much closer anyways.  

The one thing that you could do is to put in a call to her/him and explain what's going on and see if it can wait until then.  From what I understand, even at worst, if it is pre-cancerous, it is usually slow growing/developing (the most common form of it anyways).  However, given your family history with your mom's experience, I'd say that it's better to be safe than sorry and give your doc a call to see what he/she suggests is best.  You may have your mind put at ease to hear him/her say that it's ok to wait until your next scheduled appointment in October (just make sure it's there! :))  

Certainly stress can be a major factor in upsetting hormonal balances and it seems (I'm not a doctor of course) that your progesterone levels are high by comparison to the progesterone level so, it could be that a build-up of estrogen has caused the lining to build up and create this "break-through" type of bleeding.  It may mean that you need your progesterone levels upped a bit more and maybe, that's part of what he/she wants to see as well.  A call certainly wouldn't hurt.  Yes, more stress, I know but, best to be safe.  At least your mind will be put at ease one way or another.  

You're obviously still in the perimenopausal stage if you're still having periods at all so, the odds are in your favor and your gut could be perfectly correct that everything is just fine.  Is there any way that you could get a week or so with some calmness to it and see what happens when your body gets a break from the stress?  

[PerimenoWorried]

By the way, I forgot to ask if you asked what the term, "partial benign" meant in reference to the polyp?  Did the doc mean that part of it was benign and the other part was cancerous?  I'm not sure what to make of that.  If part of it was cancerous, you may want to make that call for sure.  :)