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What Causes Vaginal Spotting During Menopause?
Question: I am 72 (female) who had a total hysterectomy at age 34. I have light brown spots in my underwear. My urine test did not show any blood. Do you have any ideas about what can be causing this? I had extensive endometriosis which is why I had the hysterectomy. Thanks for your help.
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Brief Answer:
Atrophic vaginitis is most likely.
Detailed Answer:
Hello XXXX
Thanks for trusting us with your health concern.
The most likely reason for your spotting is - atrophic vaginitis.
Due to hormonal deficiency which is natural after menopause, the local vaginal tissues may get brittle, fragile and atrophic.
That leads to breakage, spotting and damage.
It is a minor issue and easily treated with local estrogen vaginal gels.
Please get the diagnosis confirmed by seeing an OB - GYN, having an internal exam, Pap smear and pelvic ultrasound scan.
It would rule out other less likely but sinister causes ( cervical lesions, polyps etc ).
All the best.
Please free to discuss further.
Atrophic vaginitis is most likely.
Detailed Answer:
Hello XXXX
Thanks for trusting us with your health concern.
The most likely reason for your spotting is - atrophic vaginitis.
Due to hormonal deficiency which is natural after menopause, the local vaginal tissues may get brittle, fragile and atrophic.
That leads to breakage, spotting and damage.
It is a minor issue and easily treated with local estrogen vaginal gels.
Please get the diagnosis confirmed by seeing an OB - GYN, having an internal exam, Pap smear and pelvic ultrasound scan.
It would rule out other less likely but sinister causes ( cervical lesions, polyps etc ).
All the best.
Please free to discuss further.
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. Prasad
Answered by
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