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Does Spotting When On Coumadin Indicative Of Vaginal Atrophy?

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Posted on Wed, 31 Dec 2014
Question: Age 52 On coumadin with spotting for years; it hurts on right side of vagina when inserting tampon. Could this be vaginal atrophy as Dr says uterus seems ok
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Answered by Dr. Soumya (56 minutes later)
Brief Answer:
Reduced Estrogen is the basis of this issue...

Detailed Answer:
Hi,

I read your query and I understand your concerns about pain while inserting tampon.

Following is my reply:

1. You are right, There is probably vaginal atrophy which is causing this pain.

2. Though uterus seems normal, it has got nothing to do with dryness.

3. Dryness occurs due to Decreased estrogen hormone leading to vaginal atrophy. Hence I suggest you use lubricating estrogen cream while inserting tampons which will reduce pains.

Let me know if you have any more doubts.

Regards,

Dr. Soumya
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Soumya

OBGYN

Practicing since :2010

Answered : 3106 Questions

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Does Spotting When On Coumadin Indicative Of Vaginal Atrophy?

Brief Answer: Reduced Estrogen is the basis of this issue... Detailed Answer: Hi, I read your query and I understand your concerns about pain while inserting tampon. Following is my reply: 1. You are right, There is probably vaginal atrophy which is causing this pain. 2. Though uterus seems normal, it has got nothing to do with dryness. 3. Dryness occurs due to Decreased estrogen hormone leading to vaginal atrophy. Hence I suggest you use lubricating estrogen cream while inserting tampons which will reduce pains. Let me know if you have any more doubts. Regards, Dr. Soumya