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46 yr old woman who until now has had normal periods.

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I am a 46 yr old woman who until now has had normal periods. Always heavy for 3-4 days then 1 day usually nothing and then will have 1 last day of bleeding and then done. This time I thought I was finished with the regular flow and then the last 2 or 3 days it's been a brown discharge with clots to the point that I have to wear a tampon and the tampon is full of the brown discharge. Also have been having cramps in my abdominal area. Have a history of cysts and after sex I ususally bleed a little. Haven't been to the gyno in a long time. Any suggestions???

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replied January 13th, 2014
Menstruation Answer A45713
Welcome to ehealthforum,
Spotting after periods could be your body’s reaction to the changing hormonal status or expulsion of pending blood and tissues. The spotting/bleeding during or after intercourse that you describe is not normal, and if recurrent, it could suggest possibilities like vaginal infections, internal injury/trauma, cervical erosion or dysplastic changes, uterine fibroids, endometrial polyps, endometritis, ovarian cysts, hormonal derangements affecting the bleeding pattern, anemia etc. It is difficult to comment on the exact cause for the abnormal vaginal bleeding/spotting that you describe without examining you. The exact cause can only be made out after careful evaluation. Consider visiting your doctor/gynecologist at the earliest for thorough examination and further evaluation to look for the underlying cause for the abnormal vaginal bleeding/spotting that you describe if it is recurrent or persistent. Treatment as appropriate (based on examination findings and investigations results) would be started to help you control the spotting/bleeding and regulate your periods. Avoid vaginal douching, use of harsh soap or perfumes in the area. Use loose cotton undergarments and avoid use of tight fitting clothes. Avoid sweat accumulation in the area. If infective cause is detected, and if you are sexually active, get your partner also treated simultaneously to prevent chances of re-infection, and avoid having intercourse while being on treatment.
Take care.

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