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What Causes Vaginal Bleeding In A Post-menopausal Woman?
Question: I had also had full hysterectomy on 2001 leaving one ovary which has a small cyst. I had suffered endemetriosis and mt womb had never developed but stayed in two halves. About 6 weeks ago i had a freak bleed from my vagina which lasted 5 hours (regular trickling every 15 mins) it felt like a strong urge to urinate but from the vagina. Im not sexually active and this was a bit scary. The A &E sent me home as they said they couldnt admit me unless i was hemoraging! I have not had this since but no one can explain it. Can you?
Brief Answer:
These are alraming signs and endometrial cancer has to be ruled out.
Detailed Answer:
Welcome back to HCM: Please note that bleeding in a postmenopausal woman has to be worked up for endometrial cancer with imaging and biopsy of your endometrium.
You obviously have a history that is concerning, the correct person I would visit with is you gynecologist.
There is just no replacement with the guessing games one will put you through.
I hope this help with giving you a direction in how to proceed.
These are alraming signs and endometrial cancer has to be ruled out.
Detailed Answer:
Welcome back to HCM: Please note that bleeding in a postmenopausal woman has to be worked up for endometrial cancer with imaging and biopsy of your endometrium.
You obviously have a history that is concerning, the correct person I would visit with is you gynecologist.
There is just no replacement with the guessing games one will put you through.
I hope this help with giving you a direction in how to proceed.
Above answer was peer-reviewed by :
Dr. Raju A.T
But i do not have a uterus or cervic so what is there left to biopsey?
Brief Answer:
What you have is your peritoneum left to biopsy
Detailed Answer:
What I was saying is in general, any postmenopausal woman who has bleeding has to be investigated with biopsies. You have one ovary that is left you also say, this could be a cause of concern, so specifically for you, you still need this investigated. UltraSound scanning would be the first place before any invasive testing, I hope this helps further clarify. Thanks
What you have is your peritoneum left to biopsy
Detailed Answer:
What I was saying is in general, any postmenopausal woman who has bleeding has to be investigated with biopsies. You have one ovary that is left you also say, this could be a cause of concern, so specifically for you, you still need this investigated. UltraSound scanning would be the first place before any invasive testing, I hope this helps further clarify. Thanks
Above answer was peer-reviewed by :
Dr. Yogesh D
They have already CT scanned the ovary and it just has a small cyst but no cancer etc.
Brief Answer:
Who has specifically scanned your abdomen?
Detailed Answer:
1. Who is specifically working this bleeding up?
2. Did you see a Ob/Gyn for this bleeding yet?
3. CT is an imaging test, you need to have a vaginal exam by the right specialty
4. At the time of exam and with your history, then the right testing will be obtained/ordered
5. Pelvic and Vaginal US would be in order and upto tissue sampling if indicated at that time.
Who has specifically scanned your abdomen?
Detailed Answer:
1. Who is specifically working this bleeding up?
2. Did you see a Ob/Gyn for this bleeding yet?
3. CT is an imaging test, you need to have a vaginal exam by the right specialty
4. At the time of exam and with your history, then the right testing will be obtained/ordered
5. Pelvic and Vaginal US would be in order and upto tissue sampling if indicated at that time.
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. Naveen Kumar
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