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mid-cycle red bleeding - 2 days
hi! i'm 31 years old and had my first menstrual cycle after having had my daughter twenty months ago begin about 17 days ago (so cycle day 1 was 17 days ago - my period ended about 9 days later). anyhow, for the past two days, i've been having bright red bleeding, about the size of a quarter that requires a liner. is this something i ought to be concerned about?
i've never had midcycle bleeding before though i have irregular cycles (well, the follicular phase is all over the place - my luteal phase is a solid 12 days). i've had blood work done before to check for fertility issues in 2007 and they all came back as normal. also, i have had an HSG and an operation that incised a septate. both times the RE came back and told me that everything looked normal - no mention of fibroids or polyps. i haven't been able to do basal temperature recording so can't tell if i ovulated or not. but could this bleeding be related to ovulation? or is it a sign of an anovulatory cycle? or something worse?
i've never had midcycle bleeding before though i have irregular cycles (well, the follicular phase is all over the place - my luteal phase is a solid 12 days). i've had blood work done before to check for fertility issues in 2007 and they all came back as normal. also, i have had an HSG and an operation that incised a septate. both times the RE came back and told me that everything looked normal - no mention of fibroids or polyps. i haven't been able to do basal temperature recording so can't tell if i ovulated or not. but could this bleeding be related to ovulation? or is it a sign of an anovulatory cycle? or something worse?
MEDICAL PROFESSIONAL
Hi!
I'm assuming that since it was 20 months between birth and first menstrual period, you breastfed your daughter for at least some period of time, and perhaps are still nursing.
If so, it is likely that your uterine lining is atrophic or very thin and "raw". That could be the cause of the bleeding and if so, is likely to resolve as your hormone levels return to normal and you start having ovulatory cycles.
It could also be an anovulatory cycle, that would certainly not be a shock given your history. At any rate, I would doubt that anything very serious is going on, and if you were my patient, I would just have you keep track of the next few cycles.
One option to sort things out quickly might be a short course of oral contraceptives.
Hope this helps!
Dr B
I'm assuming that since it was 20 months between birth and first menstrual period, you breastfed your daughter for at least some period of time, and perhaps are still nursing.
If so, it is likely that your uterine lining is atrophic or very thin and "raw". That could be the cause of the bleeding and if so, is likely to resolve as your hormone levels return to normal and you start having ovulatory cycles.
It could also be an anovulatory cycle, that would certainly not be a shock given your history. At any rate, I would doubt that anything very serious is going on, and if you were my patient, I would just have you keep track of the next few cycles.
One option to sort things out quickly might be a short course of oral contraceptives.
Hope this helps!
Dr B
thanks for the response! you are right - i did forget to mention that i am still breastfeeding my daughter. i'll watch my cycles and see what happens. hopefully things will get back to "normal" soon, even with nursing (she's cut back a lot and i think that's what started my last menstrual period), as i'd love to have another baby. thanks again!
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