HomeAnswersObstetrics and GynecologyspottingMy wife had spotting and cramps after periods. Are these symptoms of cancer?

There are spotting and cramps soon after periods. Why?

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There are spotting and cramps soon after periods. Why?

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

Answered by

Dr. Nadia Khan

Medically reviewed by

Dr. Divya Banu M

Published At June 30, 2019
Reviewed AtApril 26, 2024

Patient's Query

Hello doctor,

My wife had a cervical tumor or some kind of growth when she was a teenager. Whatever it was, medication took care of it for her. Now she is 31, has three kids, and in the last few months, she experiences spotting and cramps one day after her period ends. She has a Pap smear appointment the next week, but I am extremely worried in the meantime. What are the chances that the symptoms are because of cancer? Are there other benign conditions that are more likely to cause this? Please help.

Answered by Dr. Nadia Khan

Hello,

Welcome to icliniq.com.

Thanks for sharing this information here.

First of all, I would like to see her reports from the previous diagnosis and treatment and only then I would be convinced that it was a tumor. Secondly, from your point, it sounds like it seems to be only a cervical polyp which is totally benign and after its removal, the patient does not have any symptoms. And thirdly, a pap smear does not detect cancer. It detects only early changes which lead to cancer. So, be relaxed now as nothing is wrong with your wife as she has given birth to three healthy kids. She must go for a pap smear without any hesitation, and I hope it would be fine as well.

I hope I have resolved your queries. Do get back if you have any further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you so much for the reply.

Your reply has eased my mind a bit. I wonder though when a woman presents with post-period spotting and cramping (for a day or so), how often is it something to worry about? We have read about uterine incapacity and so, I know it could be very benign, but how often does that symptom wind up indicating cancer? Kindly let me know.

Answered by Dr. Nadia Khan

Hi,

Welcome back to icliniq.com.

Glad to have you back.

Post-period spotting and cramping is absolutely normal, and it occurs due to ovulation, and it has nothing to do with any disease.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Well, this spotting comes right after her period, a day or two after she stops bleeding. I do not think she would be ovulating so fast. It also seems to me that she is having longer periods than usual, though I do not know that for sure. I read that at times, these could be early indicators of cervical cancer. Also, I asked her in detail, and she told me that they were definitely cancer cells that she had scraped out when she was 19 years old. She is 31 now and has not had a Pap test in at least seven or eight years.

Answered by Dr. Nadia Khan

Hi,

Welcome back to icliniq.com.

Thanks for getting back to me.

Well, I have a few questions that if you would like to answer would give me a better picture of the actual problem. First, you are right it could not be ovulation as it occurs right after her period. So, please let me know about the following:

1. Does she bleed or has spotting after having sex?

2. Can she provide the report of the last smear?

3. And if cancer cells were seen, what was the diagnosis and treatment that was provided to her?

4. Was the cancer left as it is inside or did she undergo any cervical surgery?

And yes, you are also right that cancer might be associated with the symptom of spotting and bleeding but in the case of cervical cancer, symptoms are usually different such as experiencing a very foul-smelling discharge. I suggest you please arrange an appointment with the local doctor to have her examined fully as physical examination is extremely important in assessing the current condition of her pelvic organs. If she is having longer cycles, then that could also be a cause of spotting as it may result in irregular bleeding.

I hope I have answered all your queries. Do get back if you have any further queries.

Thank you.

Patient's Query

Hi doctor,

I have never noticed her experience spotting after sex. She has rarely ever reported any pain from intercourse. I do not know when her last smear was taken. All I know is that, when she was 19, she had cancerous cells scraped from her cervix. She has a doctor's appointment scheduled this week, but I know smear tests take weeks to provide the results. That is why I am so frightened and panicked right now since we will not know anything for a while till the results arrive. I know that only clinical examination can give me a real answer, but in your experience, does this strike you as a worrisome situation? And if so, what would the prognosis look like for a 31-year-old who is already experiencing symptoms if, these are symptoms of cancer? Please help.

Answered by Dr. Nadia Khan

Hi,

Welcome back to icliniq.com.

Glad to have you back.

Well, unfortunately, I cannot say much about it without having a deep insight into what is actually going on. But, as far as my knowledge is applicable, I supposedly do not think that it could be cancer, because the strongest point which I believe is that if cancer cells were seen at 19 years of age, then patients are not usually left on their own and they undergo huge investigations and treatments throughout these years (unless patient herself refuses to undergo treatments). I feel you are reading lots of stuff on the internet and assuming a lot more things that are not required to be implied.

I suggest you relax and calm down as it is only adding up to your anxiety. Another thing that I would suggest is to get a vaccine against cervical cancer (Cervarix or Gardasil) which provides immunity against the development of cancer after your wife is done with her pap smear. Spotting has many causes like polyps, infections, hormonal changes, pills, etc. The last possibility is cancer. So first, let us rule out other things and then we shall proceed towards cancer diagnosis, and it usually takes 10 to 15 years for cancer to develop after changes have been seen in the smear test.

I hope this helps you.

Thank you.

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

Dr. Nadia Khan
Dr. Nadia Khan

Obstetrics and Gynecology

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