Brown Bleeding for a Month

Question

I have been charting with the Creighton Model of NFP for three years. In January I experienced an unusual continuous brown bleeding from Day 1 to Day 28-32 with a normal five day period (red bleeding) then continued brown until the next period. I had a hysteroscopy in March.  I have been on Prometrium, natural progesterone and now for the past seven months on HCG shots on Peak +3, +5, +7, and +9. Starting Sep. 21st until October 25 I had continuous brown bleeding, very light. I am 41 years old.
How much might ENDOMETRIOSIS play a part in all of this brown bleeding? What do you recommend I do? I am not trying to achieve a pregnancy and my husband and I use condoms, but most of the time after intercourse brown bleeding starts or gets worse.

Thanks for your help with this,

Maureen

Answer

Last Updated: December 13, 2014
Dear Maureen,

There are several possibilities to explain what is happening here. Although endometriosis often is associated with altered cervical mucus cycles and changes in hormone profiles, it should not, in and of itself, cause the bleeding. It would be interesting to see the hysteroscopy report to see if there was a fibroid or if there were any pre-cancerous changes in the lining of the uterus.

You should probably have an endometrial biopsy to rule out endometrial cancer and hyperplasia since it has been more than two years since your hysteroscopy. You should also consider having a pelvic ultrasound to evaluate the uterus for fibroids and other problems as well as a comprehensive hormone profile based on your Creighton charting.

It sounds like you have seen or are seeing a physician experienced in NaProTechnology. A follow-up appointment soon would be a good idea.

Dr. George Delgado

Answered By:

George Delgado, M.D., F.A.A.F.P.
President and Founder of Steno Institute and Medical Director of Culture of Life Family Services (COLFS), San Diego, is a Professional Member / Supporter of CANFP. Board certified in both family medicine and hospice and palliative medicine, Dr. Delgado received his medical degree from the University of California, Davis, and completed his residency at Santa Monica Hospital/UCLA. Dr. Delgado is a Natural Family Planning Medical Consultant, trained in NaProTechnology.

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