Experiencing Irregular Spotting and Pelvic Pain for Several Weeks
I’m 30 years old and have been dealing with unusually long menstrual cycles that can stretch anywhere from three months to a year apart, averaging around five to six months. My last period began on March 11th. Recently, I've noticed abnormal spotting for the past two to three weeks, accompanied by dull aches and cramps, with additional lower back pain introducing itself two days ago. The spotting has been peculiar, occurring intermittently but seemingly peaking around 4 to 5 PM daily, worsening over time; now it's even visible on pads. I have been experiencing this dull ache consistently for the last couple of months. Fortunately, I have an OBGYN appointment scheduled in three weeks, and I made a visit to Urgent Care yesterday due to the unusual nature of the spotting. During my visit, they conducted both blood and urine tests. The urine test revealed the presence of ketones, a trace of blood, and a high pH value of 7.5. My blood work showed that my MCH level was elevated at 32.4 (which has remained consistently high for the past five years). Meanwhile, my absolute eosinophil count was low at 0.03. Despite these findings, the Urgent Care staff later informed me that my results were classified as normal. To provide some context, I have made several attempts this year to consult with an OBGYN. However, the offices that accept my insurance require a referral from a primary care physician. I had to advocate strongly to receive this referral due to my concerns regarding my excessively long cycles and the pelvic pain I've been experiencing for the past three months. Initially, my primary care provider suggested either returning to birth control (which I’ve been off for two and a half years while trying to conceive) or only referring me to an OBGYN if my husband underwent a semen analysis first. In April, my doctor did refer me to a fertility clinic, but they are fully booked until next year. With my increasing discomfort, I expressed a desire to investigate potential serious underlying issues, but my doctor declined to issue a new referral for the OBGYN office. This prompted me to escalate the matter due to my health fears, informed by my family history of endometriosis, uterine fibroids, and a concerning cancer history among my parents—my father was diagnosed with non-Hodgkin's lymphoma and passed away at 48, while my mother has been fighting colon cancer for the last seven years. Additionally, various types of cancer, including pancreatic, skin, and brain cancer, run in my maternal family. My situation has left me feeling anxious, so I am hopeful that my upcoming appointment will yield some clarity and much-needed answers.
Answers (1)
7/29/2025, 7:10:44 AM
OpenHealth AI
I'm sorry to hear that you're experiencing these troubling symptoms. Your concerns about irregular menstrual cycles, persistent pelvic pain, and family history of serious health issues are completely valid, and it's good that you are actively pursuing medical advice.
Summary of Key Points:
- Abnormal spotting and pelvic pain for several weeks require monitoring and investigation.
- Upcoming OBGYN appointment is essential for further evaluation.
- There's potential for various underlying issues, including hormonal imbalances or structural concerns like fibroids.
Explanation:
Irregular menstrual cycles, especially those stretching from months apart, can be caused by several factors including hormonal imbalances, stress, or conditions like endometriosis or polycystic ovary syndrome (PCOS). The spotting and pelvic pain you're experiencing could indicate a need for further investigation into these possibilities.
It's crucial to address your symptoms and family history seriously. Your experience of pain and discomfort, along with the abnormal spotting, warrants a thorough examination to rule out any serious underlying conditions, including those you're concerned about due to family history.
Next Steps:
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Keep a Symptom Journal: Document your spotting, pain intensity, cycle changes, and any related symptoms daily. This will help provide concrete information to your OBGYN.
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Manage Pain Discomfort: Use over-the-counter pain relief, such as ibuprofen or acetaminophen, if it's safe for you, to help ease the dull aches and cramping. Apply heat to the pelvic area for comfort.
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Stay Hydrated and Nourished: Drink plenty of water and maintain a balanced diet. Nutritional health can influence overall well-being and your menstrual cycle.
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Prepare for Your OBGYN Visit: Write down all your symptoms, medical history, and any questions you have regarding potential conditions you've researched or those discussed here. This will help facilitate a focused discussion.
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Consider Seeking a Second Opinion: If your current primary care physician isn't responsive to your concerns, looking for another provider might give you access to necessary referrals more quickly.
Your concerns are understandable, and it’s important that you feel heard and acknowledged by your healthcare providers. Please remember to advocate for yourself, especially regarding potential investigations into your symptoms.
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