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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent UTI S And Irregular Menstrual Bleeding Post Salpingectomy?

why am I having so many problems after bilateral salpingectomy? I had a salpingectomy at the end of 2013 and have been having frequent UTIs, off and on bleeding in between periods and a feeling of pelvic pressure. I also have vaginal bleeding sometimes after sex. is this normal and if not whats the problem?
Tue, 19 Jan 2016
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Bleeding in between periods, feeling of pelvic pressure and bleeding after having sex are not normal.
The cause for these problems needs to be sought and appropriate management needs to be done.
Pelvic pressure and bleeding after having sex could be due to pelvic inflammatory disease (PID).
PID is a group of infectious diseases affecting the reproductive tract.
A previous history of surgery may not be associated with these symptoms since it has been more than 2 years when you underwent the surgery.
I suggest you to consult your gynecologist for prescription of an ultrasound pelvis.
In case there is any evidence of PID, appropriate treatment needs to be taken.
Bleeding in between periods is abnormal and it may be associated with other symptoms.
After ultrasound pelvis, colposcopic examination of cervix and an endometrial biopsy may also be required.
Thus, I suggest you to consult your gynecologist for further action.
Frequent and recurrent UTI may also be associated with other symptoms.
The reproductive tract and the urinary tract are in close proximity with each other so the infection from one tract can spread to the other.
A routine urine examination and a urine culture is required to detect the causative organism followed by drug sensitivity to select the most potent antibiotic.

Thanks and take care
Dr Shailja Puri
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What Causes Frequent UTI S And Irregular Menstrual Bleeding Post Salpingectomy?

Hello and welcome to HCM, Bleeding in between periods, feeling of pelvic pressure and bleeding after having sex are not normal. The cause for these problems needs to be sought and appropriate management needs to be done. Pelvic pressure and bleeding after having sex could be due to pelvic inflammatory disease (PID). PID is a group of infectious diseases affecting the reproductive tract. A previous history of surgery may not be associated with these symptoms since it has been more than 2 years when you underwent the surgery. I suggest you to consult your gynecologist for prescription of an ultrasound pelvis. In case there is any evidence of PID, appropriate treatment needs to be taken. Bleeding in between periods is abnormal and it may be associated with other symptoms. After ultrasound pelvis, colposcopic examination of cervix and an endometrial biopsy may also be required. Thus, I suggest you to consult your gynecologist for further action. Frequent and recurrent UTI may also be associated with other symptoms. The reproductive tract and the urinary tract are in close proximity with each other so the infection from one tract can spread to the other. A routine urine examination and a urine culture is required to detect the causative organism followed by drug sensitivity to select the most potent antibiotic. Thanks and take care Dr Shailja Puri