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Why am I having spotting after taking Femosten Conti?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been on Femosten Conti for several months and have changed from a different HRT medication which was also the brand Femosten, but I cannot recall its name. I commenced on the first medication to manage menopausal symptoms. It has certainly helped with the symptoms, especially the Femosten Conti. I have noticed some spotting on occasion. It is very minimal. I wear panty liners so note any discharge or bleeding. It is what I would describe as infrequent. I am not sure if I should see my GP about this.
Answered by Dr. Sree Gouri. S. R

Education:

MBBS

Professional Bio:

Dr. Sree Gouri is a compassionate Obstetrician and Gynecologist dedicated to supporting women’s health at every stage of life. She combines her clinical expertise with a keen eye for detail and thorough radiological insight to provide accurate diagnoses and effective care. Known for her attentive listening, strong communication, and analytical approach, Dr. Sree Gouri works closely with patients to help them make informed decisions about their health. She practices at Susruta Polyclinic in Tirupati, offering personalized, patient-centered care focused on long-term wellness and overall well-being.

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Hi,

Welcome to icliniq.com.

Thank for the query. I can understand your concern.

Femoston conti contains Dydrogesterone and Estradiol hemihydrate means combination of progesterone and estrogen to treat the symptoms of menopause. Usually prolonged use of hormone replacement therapy is not recommended. If using for prolonged periods, then regular general checkup is advised to diagnose any problems related to hormonal use. Irregular spotting after menopause should be considered seriously as sometimes it may indicate some problem. Usual causes are atrophic endometrium, cervical erosion, increased endometrial thickness, etc. HRT is not advisable in case of unknown cause of pelvic bleed usually. So, please consult your gynecologist once, get examined and go for pap smear test and ultrasound with this workup the possible cause of your problem can be identified and treated. If symptoms of menopause are minimal, then herbal extracts like Estro G are better with less side-effects. Hope I have answered your question. I will be happy to answer any further follow up questions. Take care.

The Probable causes

Increased endometrial thickness.

Investigations to be done

Pap smear, and ultrasound.

Differential diagnosis

Side effects.

Probable diagnosis

Increased endometrial thickness.

Treatment plan

To be evaluated.

Preventive measures

Better to avoid prolonged use.

Regarding follow up

If needed.
Medically reviewed by Dr. Hemalatha
Published At January 16, 2020
Reviewed At August 24, 2022

Education:

MBBS

Professional Bio:

Dr. Sree Gouri is a compassionate Obstetrician and Gynecologist dedicated to supporting women’s health at every stage of life. She combines her clinical expertise with a keen eye for detail and thorough radiological insight to provide accurate diagnoses and effective care. Known for her attentive listening, strong communication, and analytical approach, Dr. Sree Gouri works closely with patients to help them make informed decisions about their health. She practices at Susruta Polyclinic in Tirupati, offering personalized, patient-centered care focused on long-term wellness and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Hemalatha is a dedicated Dental Surgeon with expertise in preventive, restorative, and cosmetic dental care. She is passionate about promoting oral health and creating personalized treatment plans to suit each patient’s needs. Her clinical approach emphasizes patient comfort, precision, and long-term dental wellness, ensuring a positive and reassuring experience for every individual under her care.

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Dr. Sree Gouri. S. R

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Sree Gouri is a compassionate Obstetrician and Gynecologist dedicated to supporting women’s health at every stage of life. She combines her clinical expertise with a keen eye for detail and thorough radiological insight to provide accurate diagnoses and effective care. Known for her attentive listening, strong communication, and analytical approach, Dr. Sree Gouri works closely with patients to help them make informed decisions about their health. She practices at Susruta Polyclinic in Tirupati, offering personalized, patient-centered care focused on long-term wellness and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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