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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Spotting After Menstruation?

Hi, I finished my period over a week ago and just noticed a spot of blood like I get when i first start my period, I am 36yrs old, in a long term relationship not on birth control at them moment as taking a break and 100% sure I am not pregnant. Please advise. Thanks Karen
Mon, 6 Apr 2015
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General & Family Physician,  's  Response
Hi,
As per your history and problem,actually it is a post menstrual spotting which seems to be DUB i.e DYSFUNCTIONAL UTERINE BLEEDING which occurs due to hormonal imbalance.

If this is your first episode I am not suggesting you any evaluation, but if this is repeat episodes I will suggest you to undergo few minimum investigations i.e. scan pelvis (to see if there is any problem with uterus or ovaries), thyroid function test (thyroid abnormalities can present with irregular bleeding) and haemoglobin (to rule out anaemia).

Generally treatment is recommended after investigation and I use combined OC pills for my patients with similar episodes.

In short, you can wait for a few days more and I expect the spotting to stop.

If symptoms persist or if the episodes recur subsequently, you are advised to seek medical attention.

Consult your gynaecologist for further evaluation.
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What Causes Spotting After Menstruation?

Hi, As per your history and problem,actually it is a post menstrual spotting which seems to be DUB i.e DYSFUNCTIONAL UTERINE BLEEDING which occurs due to hormonal imbalance. If this is your first episode I am not suggesting you any evaluation, but if this is repeat episodes I will suggest you to undergo few minimum investigations i.e. scan pelvis (to see if there is any problem with uterus or ovaries), thyroid function test (thyroid abnormalities can present with irregular bleeding) and haemoglobin (to rule out anaemia). Generally treatment is recommended after investigation and I use combined OC pills for my patients with similar episodes. In short, you can wait for a few days more and I expect the spotting to stop. If symptoms persist or if the episodes recur subsequently, you are advised to seek medical attention. Consult your gynaecologist for further evaluation.