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What Causes Vaginal Spotting After A Total Hysterectomy?

Posted on Thu, 19 Jan 2017

Question: I am a 66 year old female and have been in menopause after a total hysterectomy in 2002. Until a few months ago I took Estradiol patch with no ill effects. However, I find more symptoms returning. Even before going off the patch, I have thin skin and bleeding or seeping areas in the vaginal area, primarily outside the vagina. I have tried some OTC creams but still suffer from some itching (treated for yeast) so that is not the cause. Please advise on whether I should go back on patch or what cream or treatment should I use for the uncomfortable condition I am experiencing? Thank You. XXXXXXX

Answered by Dr. Soumya (20 minutes later)

Brief Answer:
Start the patch again

Detailed Answer:
Hi,

I understand your concerns.

These vaginal effects are due to thinned out vaginal skin. This happens after you stop patch in some women.

Hence it is advisable to restart the patch for relief. This is not yeast infection.

You Can Alternatively use estrogen cream for local application instead of patch. These can be bought with prescription only.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Soumya (3 hours later)

Although the vaginal issues have gotten worse after stopping the patch, they have been ongoing for several years. What are the best estrogen creams?

Answered by Dr. Soumya (59 minutes later)

Brief Answer:
Brand needs to be enquired locally

Detailed Answer:
Hi,

Estrogen cream brands vary in each country and you need find the brand available in your country by checking with your doctor /pharmacy.

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. Chakravarthy Mazumdar