Why am I spotting watery mucus after a miscarriage?

Question

Hi doctor,

I used to have a regular menstrual cycle. But since the last four months, I noticed spotting mixed with watery mucus in the mid of the cycle. I was put on birth control pills a year back, but I still got pregnant and had a miscarriage six months back. After two months of my miscarriage, I started having this spotting problem. After going through the internet searches, I found out that my hormones are all normal and I do not have any cyst or polyp. I also had an ultrasound done, which came back normal. I had Chlamydia five years back and got it treated. Could this spotting be after my ovulation as my hormones levels are going down or something else? I have attached my scans, reports, and medication for your better understanding.

Answer 1

Hi,

Welcome to icliniq.com.

After going through your reports (attachment removed to protect patient identity), I feel your weight is the biggest issue here.Try to reduce your weight by avoiding junk food, red meat, etc. Try having a high-fiber and protein-rich diet and doing regular exercise. As soon as you reduce at least 11 lbs, you will see a drastic change in your health. The extra fat in your body gets converted to hormones and disturbs the balance, and this could be the cause of your miscarriage. These hormones are not usually evaluated in routine investigations. When body fat is high, the estrogen levels are elevated, causing the follicles not to develop properly, so ovulation may or may not occur. The support to the inner uterine lining may not be good as follicle is the one that produces the progesterone, which in turn causes spotting or bleeding in between the cycle. The other causes of spotting could be endometrial polyp (which is ruled out by the scan in your case) or any infections (as this is also ruled out by the treatment you have taken). Damage of Chlamydia has long-term effects, so the discharge might be due to that, even though it has been treated.