instruction: hi doctor I am 25 years old I have been diagnosed with cos years ago I was on the pill till around this year however due to a few issues and after removing my gall bladder due to gall stones my go advised I stop my pill my periods have been on and off however I have not actually bled as such there is just continuous dark brown discharge for a few days but no red flowing blood what could this be and how do I go about treating it
output: hello if you have been on pills for pod for more than years now and yet your hormones remain uncontrolled and menses have not been regularized then there is definitely something wrong in the treatment protocol or you may not be following the lifestyle changes which you may have been advised to follow it is best to stop pills for at least months after such a long treatment already and switch to lifestyle changes now for results if pregnancy is not a concern lately then the pills can be avoided however darkish brown blood indicates irregular shedding and this could be due to isolated progesterone deficiency which can be evaluated by your serum progesterone levels however immediate control of bleed can be achieved with antifibrinolytics you may discuss it with your treating gynecologist please feel free to discuss this further in detail regards