Abnormal Bleeding: Is It Menstruation or Something Else? - Obstetrics and Gynecology

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So the bleeding on July 5th is not menstruation? If contraception was successful, will I still have my period this month? Last month it was from June 17 to June 27, so am I currently in my ovulation period? I feel bloated, and there are some brown discharge when I wipe.

Niming, 10~19 year old female. Ask Date: 2019/07/13

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello Miss Anonymous: The bleeding on July 5th should be considered abnormal bleeding due to the medication.
It is difficult to predict whether menstruation will occur this month.
As for the possibility of being in the ovulation period, it is unlikely because the normal menstrual cycle has been disrupted by the medication.

Reply Date: 2019/07/13

More Info


Abnormal bleeding can be a source of confusion and concern for many individuals, especially when it deviates from the expected menstrual cycle. Based on your description, it appears that you are experiencing some irregularities that warrant further exploration.

Firstly, the bleeding you experienced on July 5th may not necessarily be classified as a menstrual period. Given that your last menstrual cycle was from June 17 to June 27, and considering the timing of your bleeding, it is possible that what you are experiencing could be ovulation spotting or breakthrough bleeding rather than a full menstrual period. Ovulation spotting typically occurs around the midpoint of your cycle, which aligns with your current timeline if you have a regular cycle of approximately 28 days.
Regarding your question about whether you are currently in your ovulation phase, it is important to note that ovulation usually occurs about 14 days before the start of your next expected period. If your cycle is consistent, and you are currently experiencing symptoms around the middle of your cycle, it is plausible that you are indeed in your ovulation phase. Symptoms of ovulation can include mild cramping, changes in cervical mucus (which may appear clear and stretchy), and sometimes light spotting.

The presence of brown discharge or spotting can often be attributed to several factors, including hormonal fluctuations, the beginning or end of a menstrual cycle, or even stress. If you have recently been under stress or have experienced changes in your routine, such as changes in sleep patterns or increased workload, these factors can also contribute to irregular bleeding. Stress can impact hormonal balance, leading to variations in your menstrual cycle.

If you are concerned about the possibility of pregnancy, it is essential to consider the timing of your sexual activity and the effectiveness of your contraceptive methods. If you used contraception effectively, the likelihood of pregnancy is reduced. However, if there is any uncertainty, taking a home pregnancy test can provide clarity. It is generally recommended to wait until at least a week after a missed period for the most accurate results.

In terms of your symptoms of abdominal discomfort and the presence of brown discharge, it is advisable to monitor these symptoms closely. If the bleeding persists, increases in volume, or is accompanied by severe pain, it would be prudent to seek medical attention. A healthcare provider can perform a thorough evaluation, including a pelvic exam and possibly an ultrasound, to rule out any underlying conditions such as fibroids, polyps, or hormonal imbalances.

In summary, while the bleeding you experienced may not be a typical menstrual period, it could be related to ovulation or other hormonal changes. Monitoring your symptoms and consulting with a healthcare provider if they persist or worsen is essential for ensuring your reproductive health. Remember, open communication with your healthcare provider about your symptoms and concerns is key to receiving appropriate care and guidance.

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