I get spotting every 15 days. What can be the reason?

Question

Hi doctor,

I am suffering from irregular periods. I am getting few spots in 15 days and also the flow was heavy during my periods. I have consulted a gynecologist here. She asked me to check the Hb count, thyroid, sugar levels, vitamin B12 and D3. Everything was fine except Hb and vitamin D3. She also asked me to take pelvis scan. After seeing the report she told me that there is a possibility of PCOS/PMOS. She gave me some iron supplements for 3 months. Now, even if I strain for some time, I am getting few spots. If I stand continuously in the kitchen for more than an hour, I am getting spots. I am really scared of the problem. Is there anything to be worried? Help me with this. I am attaching my scan reports here for your reference.

Answer 1

Hi,

Welcome to icliniq.com.

You are suffering from PCOS/PMOS (polycystic ovarian syndrome/polyendocrine metabolic ovarian syndrome), which is found in 5-10 percentage of general population and there is nothing to worry for it. Your spotting is not related to PCOS directly. In PCOS/PMOS, periods become irregular due to anovulation, which leads to heavy bleeding due to unopposed estrogen in body. Simple treatment for it is to take combined oral contraceptive pills for regularizing periods before marriage and when you are not trying for pregnancy. It will also prevent ill effects of unopposed estrogen on endometrium. Another option is to induce regular withdrawal by taking Progesterone tablets (Medroxyprogesterone acetate 10 mg twice daily for 5 days) to induce menses every 30-45 days.

Spotting should stop once you start oral contraceptive pills, which you can start right now if you are not trying for pregnancy. To prevent long-term ill effects of PCOS/PMOS, you need to take healthy diet (low carbohydrate, fat, refined sugars and high in fiber content). Do regular exercise for at least 30-45 minutes daily and induce period by oral contraceptive pill and Progesterone tablets regularly. You should avoid gaining weight at all costs as it may impair glucose tolerance and precipitate diabetes in later life. I hope you are taking Iron and vitamin D3 supplements to recover from deficiency.

Answer 2

Hello,

Welcome back to icliniq.com.

Recommended tests are blood sugar levels and TSH (thyroid stimulating hormone) at least every 3 years and more frequently if there is any family history of diabetes. Adapt good lifestyle that comprises balanced diet and regular exercise, along with regular progesterone intake that are sufficient to prevent ill effects of PCOS/PMOS. If spotting stops in another week, no other test is needed. If it continues beyond a week, you need to consult your doctor again.