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44 years
Since two months I can see dark blood before four of five days from my period. Kindly advise
Apr 29, 2014

Dr. Salim Saab Otolaryngology (ENT)
it is probably an endometritis an echo and vaginal examination . maybe she needs D&C depending on the result of the above tests
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Dr. Rania Mousa General Medicine
The occasional spotting of brown blood before the period is normal for women of all ages. especially that it happen in these 2 months only It could be the result of a change in birth control, implantation bleeding, hormonal changes, or a simple case of spotting. In the event that this happens often, however, it could be a sign of a more serious condition. Some serious conditions that cause brown blood before the period include ovarian cysts and uterine fibroids. In rare cases, this could also be a sign of cervical cancer.
it is advised if your last follow up with a gynocologist more than a year ago ,that you prepare for a follow up just to check up routine important tests at this stage which also would be helpful to remove your worries that could be nothing but stress of tiredness .
All women 30 and older need annual pelvic exams (a breast exam is typically included). The exception: You may be able to skip a year or two if three consecutive, annual Pap tests come back normal or if you have both the Pap and HPV tests and both are regularly normal.
Your gyno will perform manual pelvic and breast exams, plus a Pap smear (during which cervical cells are collected with a swab). You may also receive an HPV (human papilloma­virus) test to detect strains of the HPV virus that are responsible for most cervical cancer cases.
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