Endometritis.

Resolved question:
My last period was on the 12th of February and I was due a period on the 13 th of March, me and my husband have been trying for a baby for over a year. My cycles are 28 days. I'm now 7 days late. On my first expected period day I had white discharge with speckles of brown. I also have thrush which came on just before my due period. I've taken 4 pregnancy tests all negative. Now I'm just spotting very light brown hardly anything. What could this be?

Submitted: 4 Days
Category: OBGYN

Expert:  Dr. Aarti Vazirani replied 4 Days.

Hello,

Thanks for writing to DoctorSpring.com with your health concern.

It could be a vaginal infection that can lead to uterine infection ( endometritis) leading to spotting.

Stress, anxiety, weight gain, hormonal medications, late nights, erratic eating habits, smoking, drinking - all can lead to irregular spotting instead of a formal period.
Dysfunction of thyroid hormones or PCOD - polycystic ovarian disease could be possible.
Rarely, an ectopic pregnancy can lead to negative pregnancy tests and spotting.

Please consult a gynaecologist and have a complete internal evaluation - per vaginum and per speculum.
Next a pelvic ultrasound scan should be done.
Also, hormonal levels - FSH, LH, TSH, Prolactin, OGTT.
In view of your unsuccessful attempt to conceive for over a year now, this workup is all the more essential.

In addition, a cycle of follicular monitoring should be done to check if you are ovulating as required.

All the best
Hope this helps, Please feel free to discuss further.

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