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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pinkish Discharge With Abdominal Pain During Post Menopause?

I am 56 years old and have been post menopausal for 2 years. I was on sertraline for 18 months until 6 months ago. I have put on 14 lbs. I feel less active than I used to be & low in energy. I feel bloated & the weirdest feeling of all is that my vaginal area feels swollen ; maybe this is due to weight gain but it feels like the inside is heavy & protruding. My breasts are swollen. Yesterday was the point that I started worrying. My breasts were swollen & painful, a dull ache in my stomach, felt bloated, then I went to bathroom & noticed a light pink discharge on my pants. Any ideas?
Thu, 20 Oct 2016
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OBGYN 's  Response
Hello, and I hope I can help you today.

Technically, women are not supposed to ovulate or menstruate after their period stops for a year, which is the definition of menopause. However, it is not impossible that you have possibly gotten a period after all this time, especially given that you are experiencing other associated menstrual-type symptoms. If you have been taking any type of supplements or hormones to treat menopausal symptoms, those products can also cause menstrual-type side effects.

However, bleeding after menopause, even if it is very light, can also be a symptom of uterine or cervical cancer or other types of problems within the uterus.

So in any case of bleeding after menopause, it is extremely important that you see a doctor for evaluation. You will most likely need a Pap smear if you have not had one in the last year, an ultrasound of your uterus, and a procedure called an endometrial biopsy to make sure that your bleeding is not caused by any growth within the uterine lining. If these tests are all negative, then you may have just had a hormonal surge and the bleeding may not ever recur.

So in summary, I want to re-iterate how important it is for you to have a medical evaluation for your symptoms, even though the greatest likelihood is that the bleeding you had was due to a benign cause.

I hope I was able to adequately answer your question today and that my advice was helpful.

Best wishes,

Dr. Brown
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What Causes Pinkish Discharge With Abdominal Pain During Post Menopause?

Hello, and I hope I can help you today. Technically, women are not supposed to ovulate or menstruate after their period stops for a year, which is the definition of menopause. However, it is not impossible that you have possibly gotten a period after all this time, especially given that you are experiencing other associated menstrual-type symptoms. If you have been taking any type of supplements or hormones to treat menopausal symptoms, those products can also cause menstrual-type side effects. However, bleeding after menopause, even if it is very light, can also be a symptom of uterine or cervical cancer or other types of problems within the uterus. So in any case of bleeding after menopause, it is extremely important that you see a doctor for evaluation. You will most likely need a Pap smear if you have not had one in the last year, an ultrasound of your uterus, and a procedure called an endometrial biopsy to make sure that your bleeding is not caused by any growth within the uterine lining. If these tests are all negative, then you may have just had a hormonal surge and the bleeding may not ever recur. So in summary, I want to re-iterate how important it is for you to have a medical evaluation for your symptoms, even though the greatest likelihood is that the bleeding you had was due to a benign cause. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes, Dr. Brown