### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, I am 32 y/o female on hormone replacement therapy (estrogen transdermal patch and progesterone 1 week per month.) I have been diagnosed with premature ovarian failure 6 years ago. Recently I skipped my progesterone because my period came the month before this past month and the month before that. This month I have not had a period but I have had 2 occasions of spotting 3 weeks apart. The spotting is light pink, watery and only when I have wiped on 2 separate occasions. So in total I have not take. Progesterone for about 4 months although I have the estrogen patch on daily. I took a pregnancy test (thinking/hoping the first occasion of light spotting (3 weeks ago) was implantation bleeding) a few days ago and it s negative. I have been feeling very mildy nauseous off and on for 1 week. The second incidence of light pink spotting while wiping was this evening. I don t have abdominal or pelvic pain, fever, bloating, urinary frequency or any other symptoms besides the very mild nausea and occasional indigestion (which I never usually get) I do not usually spot between periods and I am concerned. I will make an appt with my gyn MD next week but I wanted to run it by an MD tonight. Of course my concern is uterine cancer or something like that. Thanks for reading!

### output:

Thanks for your question on Chat Doctor. In my opinion you should not worry at all for uterine cancer. Your age is too young to have uterine cancer. Plus you are on estrogen which is protective against uterine cancer. This is the reason why uterine cancer is common in postmenopausal women and not in child bearing age. So avoid stress and tension about cancer. You are having hormonal imbalance.  So get done hormone levels and consult your gynecologist. Don't worry about uterine cancer.