Spotting Following Cortisone Injection

Posted by toromama @toromama, Feb 19, 2021

Anyone else experienced spotting following a cortisone injection? This is my second experience. Both times it started about 10 days after the injection. Just wondering how long it usually lasts. The first time was a number of years ago and I thought it only lasted a few hours. I'm now on Day 2. I'm 61 years old and went through menopause when I was 52.

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@poppyp1968

He just said it was to do with the steroid affecting oestrogen levels. I'm pretty certain it affects the hormones because that's exactly how I felt , very hormonal and periody (if that's a word ) I even said to my husband when I woke up the day it started, I felt like I was due a period, despite not having one for three years. I hope it doesn't cause you too many problems if you have to continue with the injections. I certainly won't be having them again unless it's absolutely vital. 🥰

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Thanks for getting back to me poppy , Iam going to try and go with out the injections for awhile but i am 77 and i have a hard time walking with out them so we will see how long I can do it .I also was having a procedure from the physio called IMS (inter muscular stimulation ) its a big thing here in canada 🍁 . It’s a bit like acupuncture. They also call it needling .Its suppose to grab the nerve that is causing you trouble and relax it ..
it works to a fashion when your in agony but its very expensive so not too keen on that .
Thanks again for your help cheers from canada 🇨🇦

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@victoria76

Hi puttycat , i would be interested to see what your results were after all these tests . I am now convinced the steroid shots can bring on bleeding as i have had all the tests to see if there is anything else going ,all clear so far but i am from canada and our dr here (the ones i go to ) haven’t heard of steroids effecting the hormones in my system to cause bleeding .
I am at the point though that I have to make up my mind if it is worth having a period for one week twice a year or back pain relief . I am going to see how long I can go with out the steroid in my back this time but there is a question of quality of life .I am 77 years old and have a tough time walking with out it . My gynecologist told me she will keep an eye on me if i decide to continue with the shots . Cheers good luck

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I had my ultrasound yesterday and the lining was “thickened to 8mm making it suspicious for hyperplasia or possible neoplasia”. I’m still waiting for the doctor to call and discuss so idk what his take will be on it. At my first appt he felt very confident the steroid was the issue and reading up I assume it can cause the thickening, but I don’t know what he will suggest at this point. I’m assuming a biopsy or hysterscopy but I have so many questions. If we assume he’s right - and these would just comfirm a non cancerous cause - my heart problem isn’t solved because I know I need the hrt to not go crazy, but I cannot avoid the steroid when I have the oral lichen planus flairs and that’s a problem. Of course that’s only if it’s that and not something more serious. I’m just sitting waiting for my phone to ring to tell me what is my next “Hell”.

I sure hope you are able to find answers too!!

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I also had an episode of postmenopausal bleeding eleven days after kenalog injections in shoulder. I am a breast cancer survivor and recently off of aromatase inhibitors .have had a clean pap, no HPV , a vaginal
Ultrasound and a hysteroscopy. So far everything checks out clear and no one ( except this group and chatgbt!) seems to think the bleeding is attributable to the kenalog. Perhaps a study could be done so that the practitioners could warn the patients of the possibility and avoid some of the worry and fear , although of course other causes should certainly be ruled out .

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@mportland

I also had an episode of postmenopausal bleeding eleven days after kenalog injections in shoulder. I am a breast cancer survivor and recently off of aromatase inhibitors .have had a clean pap, no HPV , a vaginal
Ultrasound and a hysteroscopy. So far everything checks out clear and no one ( except this group and chatgbt!) seems to think the bleeding is attributable to the kenalog. Perhaps a study could be done so that the practitioners could warn the patients of the possibility and avoid some of the worry and fear , although of course other causes should certainly be ruled out .

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I agree ! Non of my dr are aware of this happening after a steroid shot and it would be nice if we were better informed .
It would be nice to know if there is another form of injections that wouldnt involve steroids that contain hormones ? There is another method but i don't know enough about it ..

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@puttycat

I am so thankful for finding this thread! Though I don’t fit the category perfectly it’s definitely helping my anxiety. I have an ultrasound scheduled this week. I just started hrt about 3 months ago but then had an outbreak of lichen planus in my lip. I took 2 steroid injections (I’m sure lower dose than people get for backs or hips) 2 weeks apart, followed by 21 days of oral prednisone. I KNEW the steroids were messing with me because I felt awful and my resting heart rate increased by 15 bpm! Soon as I came off I started bleeding - on Christmas Eve! But my resting heart rate started going back down too. Went to gyno who immediately said it was the steroids but I need to jump through the hoops to be sure. I stopped the hrt to be prepared for the ultrasound so idk if the continued bleeding is still steroids or hrt withdrawl now. I really do think it’s the steroids but I’m terrified of how far I’m going to have to go. I almost expect the lining to be thick because seems it ALWAYS is for everyone and then I expect another hoop just “to be sure” but sr this point I think anything else would break me.

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I think it is the sterriod shot. Look and see what kind they used. There are different ones. My orthopedic used a sterriod shot in my hip and I didn't know what kind until i got my medical records. 10 days after my shot in my hip i had a menstraul cycle for three days. I went through menopause at 32 and was done by 33 so over 20 years i haven't had a period and because of that shot i did. I also ended up with 3 blood clots in my left leg. So yes it can be the shot. the orthopedic used Kenalog 40 which the company that makes it sent out a warning about to all doctors. When you have a gut feelinga about not getting a shot go with your gut. I hope this helps

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@nancyh55

I think it is the sterriod shot. Look and see what kind they used. There are different ones. My orthopedic used a sterriod shot in my hip and I didn't know what kind until i got my medical records. 10 days after my shot in my hip i had a menstraul cycle for three days. I went through menopause at 32 and was done by 33 so over 20 years i haven't had a period and because of that shot i did. I also ended up with 3 blood clots in my left leg. So yes it can be the shot. the orthopedic used Kenalog 40 which the company that makes it sent out a warning about to all doctors. When you have a gut feelinga about not getting a shot go with your gut. I hope this helps

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Hi ,thanks for this information , my dr used a steroid called Triamcinolone. I think they all do the same thing but it would be interesting to find out if there is a steroid that doesn't have this effect on woman . I also have major cramps in my legs which it does have a warning on the sheet I get after my appt . Mine were so bad i went to urgent care and they told me to take robaxacet for my back pain and leg cramps as it has a muscle relaxer in it . So I take one in the daytime and one at night .so far it is helping . I was getting shots every four months and every time I had a period for at least a week .. I am going to try and see how long I can go without getting another one . I was also getting a treatment called IMS (Intramuscular Stimulation) which is like acupuncture but it’s very expensive in canada 🇨🇦 .
I appreciate all the information this blog gives everyone .

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