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I had a tubal ligation done almost 3 years ago. The start of…

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I had a tubal...

I had a tubal ligation done almost 3 years ago. The start of my last period was November 8th and they usually last 4 days. I started bleeding on the 25th. Not heavy enough to fill a pad in a day but enough where i need one. What could this be?

Doctor's Assistant: Have you been keeping a personal medical record?

Yes

Submitted: 4 months ago.Category: OB GYN
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Answered in 5 minutes by:
11/27/2017
OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago
Dr. Mo
Dr. Mo, Board Certified MD
Category: OB GYN
Satisfied Customers: 1,868
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Hi, Dr. Mo here with JA. Please let me review the information and I'll reply shortly.

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OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago

Has there been any cramping as well?

Have you taken any new medications perhaps or had any change in your lifestyle that could have contributed to this early bleeding?

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Customer reply replied 4 months ago
there has been crampin but no new changes in lifestyle.
OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago

If there has been some cramping then that could indicate that you're having an ovarian cyst or a uterine fibroid, both of which are almost always benign. These can cause some intermittent bleeding before the actual period is about to come.

Are you concerned about something else such as a pregnancy or other causes?

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Customer reply replied 4 months ago
Pregnancy could be a possibility but not sure if it would cause these symptoms.
OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago

I was thinking that though the tubal ligation of course decreases your chance. If it was pregnancy related and you had bleeding there would be significant pain and often large amounts of tissue passing.

I don't suspect it's pregnancy.

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Customer reply replied 4 months ago
Could the things you mentioned also cause nausea ?
OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago

Less likely. Only if there was some pain associated with them but not on their own.

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OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago

Has the nausea been pretty intense and did it start as soon as the bleeding started?

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Customer reply replied 4 months ago
the bleeding started yesterday and nausea started today... I'm not sure how to measure intensity but it have been present pretty much all day!
OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago

The nausea and bleeding starting at the same time could indicate a hormonal breakthrough bleed. It still doesn't sound like a pregnancy though you could always do a pregnancy test which would be positive by the time you are experiencing nausea.

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OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago

Please let me know if you have any other questions I may address.

I hope I provided you with a 5-star service.

Dr. Mo

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OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago

Please click on the rating button when you're ready.

I hope I provided you with a 5-star service.

Dr. Mo

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OB GYN Doctor: Dr. Mo, Board Certified MD replied 4 months ago

Please click on the rating button when you get a moment.

This will allow me to get paid for the question.

I hope I provided you with a 5-star service.

-Dr. Mo

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