Question 12 · LEK · Menstrual disorders
A 35-year-old patient came to the gynecological outpatient clinic because of vaginal bleeding occurring between periods for about a year. The bleeding with dark brown blood occurs on 11th-12th day of the cycle and lasts 2-3 days. The periods occur every 30 days. The patient underwent a caesarian section two years earlier. Which of the following is the most probable cause of the bleedings?
- A. undiagnosed disorder of the clotting system.
- B. corpus luteum insufficiency.
- C. pelvic inflammatory disease.
- D. periovulatory LH surge.
- E. scar defect of the myometrium after the cesarean section.
Hint
Link a previous cesarean section with recurring dark-brown spotting in an otherwise regular cycle.
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