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

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

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

Education:

MD

Professional Bio:

Dr. Artur Holubka is a skilled General Practitioner and Family Physician with expertise in managing common medical conditions. He is also highly experienced in medical imaging, having worked as an MR-Radiographer on the Siemens Magnetom Aera 1.5T (syngo MR) system, performing classical radiography, radioscopy, and advanced MRI tasks with expert proficiency. Dr. Holubka combines clinical care with imaging expertise for comprehensive patient management.

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

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.
Medically reviewed by Dr. Sneha Kannan
Published At October 9, 2020
Reviewed At October 13, 2023

Education:

MD

Professional Bio:

Dr. Artur Holubka is a skilled General Practitioner and Family Physician with expertise in managing common medical conditions. He is also highly experienced in medical imaging, having worked as an MR-Radiographer on the Siemens Magnetom Aera 1.5T (syngo MR) system, performing classical radiography, radioscopy, and advanced MRI tasks with expert proficiency. Dr. Holubka combines clinical care with imaging expertise for comprehensive patient management.

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

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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

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

Education:

MD

Professional Bio:

Dr. Artur Holubka is a skilled General Practitioner and Family Physician with expertise in managing common medical conditions. He is also highly experienced in medical imaging, having worked as an MR-Radiographer on the Siemens Magnetom Aera 1.5T (syngo MR) system, performing classical radiography, radioscopy, and advanced MRI tasks with expert proficiency. Dr. Holubka combines clinical care with imaging expertise for comprehensive patient management.

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

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