On 8/30 + 9/20 i had 80mg kenalog epidural injections. lmp 8/16. on 9/16 i started spotting continuously on 10/14 at routine gyn visit i had a cervical polyp removed (path showed it was endometrial tissue) i started progesterone 10 mg x 14 days. still no

I : I am assuming you have had a pregnancy test during this, if not then your doctor should perform one if there is any possibility. There are many causes of spotting, did your doctor think that the cervical polyp or its removal was causing your spotting? Also spotting can be caused by our hormones being "out of whack", this is called dysfunctional uterine bleeding. Usually progsterone will get you back into a rhythm but it sounds like that didn't happen. I do think your doctor's ideas are good including the sonohysterogram. I do not think the steroids are related to the spotting.

It's : It's unlikely the epidural injections contributed to your spotting. The fact that your gynecologist prescribed Provera (medroxyprogesterone) (progesterone) implies that you had not had a normal period for at least three months prior to your october 14 visit. Secondary amenorrhea (cessation of menstrual bleeding in a woman who has previously had regular periods) is usually caused by a failure to ovulate. This, in turn, results in unopposed estrogen stimulation of your uterine lining (the endometrium) which leads to endometrial thickening and, in many cases, spotting. (by the way, cervical polyps can also cause spotting.) provera is used to "withdraw" the lining of your uterus from the effects of estrogen and induce a period. This not only helps to reset your hormonal clock and reestablish a normal menstrual cycle; it helps prevent the development of uterine cancer. Unfortunately, this treatment doesn't work for all women, so a more potent form of Progesterone (megace) may be required. In addition, if the first course of Progesterone doesn't work, gynecologists frequently perform an evaluation, such as a sonohysterogram, to get a look at the uterus and its interior. Thus, your spotting could be due to a combination of factors: your cervical polyp may have been a contributor, and there's a good possibility that the lining of your uterus has become thickened and its outer layers are shedding. Hopefully, your next course of treatment will correct this problem. (since you saw your gynecologist again yesterday, your concerns may have been addressed. I hope things went well.).