What are the treatment options for irregular period and intermenstrual bleeding in Singapore and how much do they cost?

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How long does implantation bleeding due to pregnancy last for, and how can I differentiate this from a period bleed?

As both types of "bleeding" can occur around your expected menstrual period, this is why some women may find it difficult to differentiate between the two. What makes matters more confusing is that women's menstrual bleeding can vary vastly. Implantation bleeding tends to be light bleeding that lasts for 1-2 days and is usually painless or associated with mild cramp. The blood is usually dark red signifying that it is not fresh bleeding. The typical menstrual bleeding for most women is usually bright red, can start off light before becoming heavier and lasts for between 3-7 days.

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Dr Christopher Ng

Gynaecologist

What other tests should I take to find the cause of intermenstrual bleeding if Pap Smear and Ovarian Tumour Marker results are negative?

Intermenstrual bleeding has a number of possible causes including infections, hormone changes, ovulatory dysfunction, polyps, fibroids or other structural growths. A detailed consultation to find out about your menstrual, sexual, past medical and family history, followed by a physical examination will guide your doctor on the investigations needed to further evaluate this unscheduled bleeding. This includes vaginal swabs, STI tests, pelvic ultrasound, blood tests such as thyroid function and hormonal profiles and other procedures to examine the uterus.

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