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What Casues Vaginal Bleeding After Menopause?

Posted on Wed, 10 Sep 2014

Question: Oh Doctor ,I am soo worried, I am a widow of 72 years old,it is not bleeding after Intercourse as such,but my partner wanted to experiment by trying to get to my G-SPOT ,first time there was a little smear of blood which I did not worry about it but the second time we notice that a great amount of blood was on the under sheet,can you help me ? we are so worried, next month being September I have an appointment with gynicologist, I can hardly wait,Im out of my wits, I have no pain and I never saw any more blood.. THIS HAPPENED LAST YEAR.,
Thank You,waiting for your answer.

Yours faithfully ,
XXXX

Answered by Dr. Richa Agarwal (1 hour later)

Brief Answer:
You need evaluation.

Detailed Answer:
Hi,
Thanks for writing to us.

Any bleeding after menopause needs evaluation. Even spotting after menopause is not left untreated. I am not scaring you but this is true at your age even small amount of blood is also not left untreated. You should consult a gynaecologist and get your pelvic examination and investigation done ( as early as possible) to rule out the cause of your bleeding.

There are three most common possibilities in your case-
1) Endometrial cancer (Diagnosed by endometrial biopsy)
2) Cervical cancer and cervicitis (Pap smear and colposcopy detect it)
3) local Injury cause by finger (rule out by pelvic examination) - in your case may be this is the cause of your bleeding because at your age lining of vagina is so dry and thin but you have no pain.

Is there any thing which you want to share with us which help me in making your diagnosis?

One more investigation you required is ultrasonography of pelvis to rule out other possibilities like polyp, fibroid etc.

If there is no cause is found then we should think for other causes like piles etc.

I think I have answered your query if you have further questions I will be happy to help you.
Good luck.
Regards
Dr. Richa

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Richa Agarwal (1 hour later)

Dear Doctor I have not written before not due to stupidity but because I felt such a blow ,I had to calm down a little,I thank you so very much for your time and dedication,I did feel some thing was wrong and still I did not visit my gynecologist.
September 5th. I am due for an appointment,but I think it was better for me to know the worst before.

Thank you once again,
Yours Faithfully.
XXXX

Answered by Dr. Richa Agarwal (3 hours later)

Brief Answer:
You are most welcome.

Detailed Answer:
Hi XXXX

Nice to see you again.
You are most welcome, it is our duty to serve you.
You should not think in a negative manner, always positive.
Everything will be fine.
Believe in god and go ahead.

If you want to ask more questions feel free to ask anytime, I am always there for you.
If you want to close the query then please accept my answer and rate the answer also.
Please revert back to me if you feel so.

Good luck.
Regards
Dr. Richa

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. Ashwin Bhandari