HomeAnswersObstetrics and Gynecologylighter periodsWhy did my periods become shorter and lighter in the past three months?

In the past three months, my periods have become lighter and shorter. Should I be worried?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At October 9, 2020
Reviewed AtOctober 13, 2023

Patient's Query

Hi doctor,

I am 28 years old with a child. I want to find out whether I have an ovarian torsion. My period cycle has changed from 28 days to 30 days. I have severe pain on the first day of my period and it causes painless spotting on the fourth day for the past three months. But now I have light spotting only on the 34th day. I have done some blood tests and a scan. But all seems to be in a normal range. I am worried. Please help me.

Answered by Dr. Artur Holubka

Hi,

Welcome to icliniq.com.

Ovarian torsion is an acute surgical condition caused by complete or partial volvulus of the ovary. It disturbs the blood flow and nutrition. Ovarian torsion causes sudden severe abdominal pain with one-sided localization. There is bloody leucorrhea, nausea, vomiting, stool disturbance, dysuria, fever, and tachycardia. Ovarian torsion can be diagnosed by doing a bimanual examination, ultrasound of the abdomen and pelvis, and laparoscopy. It requires surgical actions such as laparoscopic detorsion, cystectomy, ovarian resection, ovariectomy, and adnexectomy. Therefore, you do not have ovarian torsion. On considering the symptoms and history, you can have endometriosis. You can undergo cytology of a smear taken from the uterus and a physical examination can be done. Consult a gynecologist to assess the condition of the external and internal genital organs. I also recommend you do an ultrasound of the abdomen and pelvic organs to exclude extragenital endometriosis. You can test your FSH (follicle-stimulating hormone), LTH (luteotrophic hormone), progesterone, estradiol, and prolactin. All these can give an accurate diagnosis.

Differential diagnosis

You can have mucosal leukoplakia, dysplastic changes, and hormonal imbalance.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Artur Holubka
Dr. Artur Holubka

General Practitioner

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