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

### input:
Hello, I am 36 yrs old, Asian with fibroids they has been monitored over the past 2 years with no change in the size. I am on a 21 day birth control pill and my periods come on time. My last period lasted a normal length ( start date July 29 and end date August 7). On august 7th I began taking an oral typhoid vaccine for an upcoming trip. I took the pills on alternate days (August 7,9,11, and 13). On the 12th of august I began noticing a light discharge. Each day up to today I have noticed an increase in blood flow (using a feminine cup that was filled only about 1 tsp per day.) sometimes there are clots. No cramping or nausea. This is the first time I ve experienced this breakthrough bleeding for as long as this is lasting. Is it possible that the typhoid vaccine could be a factor? Also I used to eat a low carb diet for the past 2 years and my diet is significantly different. Any advice would b great.

### output:

Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, typhoid vaccine has nothing to do with female menstrual cycles. There is also no relation with carboy Chat Doctor.  Whatever your diet will be it can only be occurs with some other reason. You can think of surgical removal of the fibroid as it can also cure your all problem with spotting. But please take your doctors' advice before deciding anything else. It may be because of some different reasons. Many a time because of this fibroid intermittent bleeding can occur. Even in your case I feel the reason will be fibroid. I will be happy to answer your further concern on bit.ly/