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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Missing Periods, Lower Back Pain, Heavy Bleeding. What Is Happening?

I had a baby in June, normal pregnancy, healthy baby. I had normal periods in august, September, October and November. I haven't had a period in 5 months now, I have taken 10 pregnancy tests and they have all been negative. I went to my obgyn last week and she did a pap exam, tomorrow I have to go for blood work. well I have been having very bad lower back pain for about 5 days and last night the pain was so bad I woke up from my sleep. I took advil and went to use the restroom before trying to go back to sleep, well instead I felt a lump come out of me, it was like a grape sized blood clot. I was kinda shocked but put on a panty liner and went back to sleep. well now all day I have been wiping dark brown blood after every time I pee and there have been quite a few tiny clumps of red blood on there too?
posted on Sun, 19 May 2013
Twitter Sun, 19 May 2013 Answered on
Twitter Tue, 21 May 2013 Last reviewed on
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,

Consecutive negative pregnancy tests rule out pregnancy.
Menstrual irregularity along with excessive bleeding/ passage of blood clots is indicative of some abnormality of the endometrium (uterine lining).
Pap smear will help to know the status of the ectocervical and endocervical lining.
This test is done to look for malignant changes or pre-malignant changes of the cervical epithelium.

However, you need to undergo an examination of the endometrium.
This can be done by endometrial curettings and endometrial biopsy. It will help to know whether there is hyperplasia (excessive growth) of the endometrium or any pathological change.
Treatment will be guided by the test results.

You need to visit your gynecologist for clinical examination and relevant investigations.

Thanks and take care
Dr Shailja P Wahal
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Missing Periods, Lower Back Pain, Heavy Bleeding. What Is Happening?

Hello and welcome to HCM, Consecutive negative pregnancy tests rule out pregnancy. Menstrual irregularity along with excessive bleeding/ passage of blood clots is indicative of some abnormality of the endometrium (uterine lining). Pap smear will help to know the status of the ectocervical and endocervical lining. This test is done to look for malignant changes or pre-malignant changes of the cervical epithelium. However, you need to undergo an examination of the endometrium. This can be done by endometrial curettings and endometrial biopsy. It will help to know whether there is hyperplasia (excessive growth) of the endometrium or any pathological change. Treatment will be guided by the test results. You need to visit your gynecologist for clinical examination and relevant investigations. Thanks and take care Dr Shailja P Wahal