
Hello Everyone, I'll Try To Be Brief But Concise. I'm

I'll try to be brief but concise. I'm 57 years old and have already gone through menopause. For the past couple of years, I've been experiencing extremely light bleeding. Now, the bleeding is not constant. It is very sporadic. Meaning that it's only happened about four times. And each time, it doesn't last days or anything like that. I see it once, then it's gone. And again, it's extremely light. However, because I suffer from OCD and health anxiety, I always get myself checked. Since this started happening, I've been to my GYN for my regular check ups. She's done four biopsies (each time I have seen blood), ultrasounds and one D&C. The last ultrasound was this past December (2019) and my last biopsy was this past March (5 months ago). All the tests that she's performed have been normal. I do have fibroids and a polyp. My anxiety is kicking in and I am feeling depressed because this past Friday I had minor bleeding again. It was extremely light and again, it didn't last. I saw it once and as I continued with my day I never say any more bleeding.
I did call my doctor on Friday but she wasn't in. I'm calling her tomorrow. I'm so confused and full of anxiety. What can it be? I'm just afraid it's cancer. I know that we are going to die of something, but my fear is that I just don't want to die too young (well, I'm sure no one does, of course).
Can fibroids make you bleed? Can a polyp make you bleed?
I know you can't diagnose but I need some guidance. What should the doctor perform next?
Thanks so much.
Soyra

I'll try to be brief but concise. I'm 57 years old and have already gone through menopause. For the past couple of years, I've been experiencing extremely light bleeding. Now, the bleeding is not constant. It is very sporadic. Meaning that it's only happened about four times. And each time, it doesn't last days or anything like that. I see it once, then it's gone. And again, it's extremely light. However, because I suffer from OCD and health anxiety, I always get myself checked. Since this started happening, I've been to my GYN for my regular check ups. She's done four biopsies (each time I have seen blood), ultrasounds and one D&C. The last ultrasound was this past December (2019) and my last biopsy was this past March (5 months ago). All the tests that she's performed have been normal. I do have fibroids and a polyp. My anxiety is kicking in and I am feeling depressed because this past Friday I had minor bleeding again. It was extremely light and again, it didn't last. I saw it once and as I continued with my day I never say any more bleeding.
I did call my doctor on Friday but she wasn't in. I'm calling her tomorrow. I'm so confused and full of anxiety. What can it be? I'm just afraid it's cancer. I know that we are going to die of something, but my fear is that I just don't want to die too young (well, I'm sure no one does, of course).
Can fibroids make you bleed? Can a polyp make you bleed?
I know you can't diagnose but I need some guidance. What should the doctor perform next?
Thanks so much.
Soyra
post menopausal bleeding ( INV)
Detailed Answer:
Hello,
thanks for the query to Ask A Doctor service,
In your case, as you have already got your biopsy and ultrasound pelvis done for investigating post menopausal bleeding and it has been normal, then unlikely that you would have either cervical or endometrial cancer else either a pap smear or a endometrial biopsy for histopathology would have picked it up.
The only other cause for the bleeding could be an intrauterine polyp or atrophic vaginitis per se itself.
The next best step would be to repeat a pap smear and check for inflammatory smear or atrophic vaginitis.
Regards

post menopausal bleeding ( INV)
Detailed Answer:
Hello,
thanks for the query to Ask A Doctor service,
In your case, as you have already got your biopsy and ultrasound pelvis done for investigating post menopausal bleeding and it has been normal, then unlikely that you would have either cervical or endometrial cancer else either a pap smear or a endometrial biopsy for histopathology would have picked it up.
The only other cause for the bleeding could be an intrauterine polyp or atrophic vaginitis per se itself.
The next best step would be to repeat a pap smear and check for inflammatory smear or atrophic vaginitis.
Regards


Soyra

Soyra
follow up.
Detailed Answer:
Hello,
Thanks for a follow up,
I really don't think that its would be a delay if you have to wait for your doctor till september 25th for a repeat pap smear as i am suspecting cervicitis and/or atrophic vaginitis alone and not any malignancy, so it is anyways better to follow up with a doctor who knows your history and has been primarily looking after you.
In the meantime , you can opt for alkaline vaginal washes to keep the local area clean and also opt for oestrigenic foods like soyabean , alpha sprouts , tofu, flax seeds... which would help your natural estrogens to build up and help improve post menopausal symptoms and atrophic vaginitis as well( by improving the vaginal mucousa).
I hope this helps,
Regards

follow up.
Detailed Answer:
Hello,
Thanks for a follow up,
I really don't think that its would be a delay if you have to wait for your doctor till september 25th for a repeat pap smear as i am suspecting cervicitis and/or atrophic vaginitis alone and not any malignancy, so it is anyways better to follow up with a doctor who knows your history and has been primarily looking after you.
In the meantime , you can opt for alkaline vaginal washes to keep the local area clean and also opt for oestrigenic foods like soyabean , alpha sprouts , tofu, flax seeds... which would help your natural estrogens to build up and help improve post menopausal symptoms and atrophic vaginitis as well( by improving the vaginal mucousa).
I hope this helps,
Regards



Thanks
Detailed Answer:
Wish you a good week as well.
Feel free to contact directly if you wish to seek any consult.
Regards

Thanks
Detailed Answer:
Wish you a good week as well.
Feel free to contact directly if you wish to seek any consult.
Regards



follow up
Detailed Answer:
Hello,
Apologies for late reply. I think any opinion can be formed only after an ultrasound pelvis and a pap smear examination. However if you feel that if there is a thickened endometrium then an endometrial biopsy would have to be taken and sent for histopathologic examination to rule out endometrial hyperplasia with atypia or in simple terms endometrial cancer.
So await sept 9 and get your evaluation done.
Regards

follow up
Detailed Answer:
Hello,
Apologies for late reply. I think any opinion can be formed only after an ultrasound pelvis and a pap smear examination. However if you feel that if there is a thickened endometrium then an endometrial biopsy would have to be taken and sent for histopathologic examination to rule out endometrial hyperplasia with atypia or in simple terms endometrial cancer.
So await sept 9 and get your evaluation done.
Regards



follow up
Detailed Answer:
Hello,
The other possible causes of post menopausal bleeding in your case could be post intercourse frictional lesions causes abrasions and bleed, atrophic vaginitis, cervical polyp, cervicitis, ( all these besides carcinomas).
Also post menopausal bleeding is ideally not common in women but once diagnosed needs to be evaluated in full.
Regards

follow up
Detailed Answer:
Hello,
The other possible causes of post menopausal bleeding in your case could be post intercourse frictional lesions causes abrasions and bleed, atrophic vaginitis, cervical polyp, cervicitis, ( all these besides carcinomas).
Also post menopausal bleeding is ideally not common in women but once diagnosed needs to be evaluated in full.
Regards



follow up
Detailed Answer:
Hello,
Please relax, i really don't feel it would be that serious but yes, get the investigations and scan done anyhow and please let me know. I don't think hysterectomy was an option then as it would have been non indicated.
Regards

follow up
Detailed Answer:
Hello,
Please relax, i really don't feel it would be that serious but yes, get the investigations and scan done anyhow and please let me know. I don't think hysterectomy was an option then as it would have been non indicated.
Regards



take care.
Detailed Answer:
Thanks and take good care of yourself.
regards

take care.
Detailed Answer:
Thanks and take good care of yourself.
regards

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