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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Spotting Instead Of Periods,back Pain And Heart Burn?

Hello , I am concerned because my last period was on February 23 , I didn t get a period in march but now in April 3 I started spotting. Pinkish . Not a normal flow never filling a pad. Just noticeable when I whipped. Today 2 days later it has stopped. I usually have normal periods . I have back pain and hurt burn and I ve been also feeling dizzy. I took a pregnancy test this morning and it was negative. So I m wondering if I should go to see a doctor or ignore it and wait for a normal period to come.
Fri, 1 Sep 2023
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OB & GYN Specialist 's  Response
Hello,

You have missed your period for over a month now. If there are chances of being getting pregnant you can repeat a pregnancy strip test again after 10 days or for now for a more definite result you can do a blood test - beta HCG to rule out pregnancy. If beta HCG is negative then you can take progesterone for 5 days to induce withdrawal bleeding.

As you were previously having regular periods you can wait to see how your next cycle is. If that is not happening on time may be we need to do further evaluation for irregular cycles. But as of now Just do a beta HCG test now or a urine pregnancy test(after 10 days) to rule out pregnancy and start medroxyprogesterone for 5 days to induce withdrawal bleeding if not pregnant.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Praseetha Narayanan, OB & GYN Specialist
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What Causes Spotting Instead Of Periods,back Pain And Heart Burn?

Hello, You have missed your period for over a month now. If there are chances of being getting pregnant you can repeat a pregnancy strip test again after 10 days or for now for a more definite result you can do a blood test - beta HCG to rule out pregnancy. If beta HCG is negative then you can take progesterone for 5 days to induce withdrawal bleeding. As you were previously having regular periods you can wait to see how your next cycle is. If that is not happening on time may be we need to do further evaluation for irregular cycles. But as of now Just do a beta HCG test now or a urine pregnancy test(after 10 days) to rule out pregnancy and start medroxyprogesterone for 5 days to induce withdrawal bleeding if not pregnant. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Praseetha Narayanan, OB & GYN Specialist