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a period at the beginning like that happens um you know your body hasnamp;#39;t been experienced hormone all of a sudden youamp;#39;re sort of reactivating uh your body and it can trigger a period my feeling is if you havenamp;#39;t had a period in a long time and now all of a sudden this is causing bleeding in that first month doesnamp;#39;t bother me but if it keeps god itamp;#39;s causing bleeding after that that probably needs to be evaluated at minimum with an ultrasound just to make sure that you know itamp;#39;s not just the hormone that we havenamp;#39;t uncovered something you know thatamp;#39;s going on in there a polyp or or something like that so you know the first initial month you get some you get a period or some abnormal bleeding thatamp;#39;s not really worrisome but if it continues thatamp;#39;s something that youamp;#39;re going to need to see an in-person doctor for and have evaluated and it probably still is nothing but still it needs to be looked at to