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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 Irregular Menstruation And Painful Cramps After A Uterine Ablation?

I have had a uterine ablation. a few years ago. Stopped bleeding for a while. Now having irregular cycles, bleeding with intercourse, painful cramps I haven t had since highschool. I recently turned 40. I will bleed with intercourse, then spot for about a day, stop, then spot for a day, etc. Lower abdomen painful to deep palpation. The bleeding with intercourse is heavy.
Mon, 29 Apr 2019
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General & Family Physician,  's  Response
Hi,

First of all, it's sad to know what you had been going through lately. Based on the history you have shared, it can be due to pelvic inflammatory disease and it's better to get ultrasound pelvis as well as high vaginal swab cultures.

You may need to have antibiotics course. If any structural lesion or fibroids are seen may need a complete hysterectomy.

These symptoms are less likely to be perimenopausal though.

Gynecologist review can be further sought.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Saddiq Ulabidin, General & Family Physician
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What Causes Irregular Menstruation And Painful Cramps After A Uterine Ablation?

Hi, First of all, it s sad to know what you had been going through lately. Based on the history you have shared, it can be due to pelvic inflammatory disease and it s better to get ultrasound pelvis as well as high vaginal swab cultures. You may need to have antibiotics course. If any structural lesion or fibroids are seen may need a complete hysterectomy. These symptoms are less likely to be perimenopausal though. Gynecologist review can be further sought. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saddiq Ulabidin, General & Family Physician