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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Prolonged Menstrual Bleeding?

my daughter is 46 and has had blood work and a vaginal ultrasound,the results showdred spots in the uterus, she had vaginal warts from a cheating ex husband, had a pap which was normal, but has been bleeding for some time not bad ,but for many days, doctor wants her to have a biopsy, she had one before and got lymphedema in her leg from an infection after the biopsy,has had it 18 years now she is afraid to have one,again,dr, says she is not in enopause yet, but could this be cancer or just fibroids, any help would be appreciated
Tue, 13 Sep 2016
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OBGYN,  's  Response
Thank you for the question and I am happy to help

Any woman over the age of 40 who is having abnormal bleeding needs sampling from inside of the uterus. The swelling in her leg is almost certainly not related to the endometrial biopsy. The spots seen on ultrasound might represent uterine polyps (which are very common) or precancerous changes in the uterus. This would also be very easy to sort out with a procedure called a hysteroscopy. Given that she is still having abnormal bleeding, she needs to be further evaluated. Consider that if she has a uterine cancer, this is the most curable of the GYN cancers and it is better sort this out sooner than later.

I hope that this helps and good luck!
Dr. Tim
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What Causes Prolonged Menstrual Bleeding?

Thank you for the question and I am happy to help Any woman over the age of 40 who is having abnormal bleeding needs sampling from inside of the uterus. The swelling in her leg is almost certainly not related to the endometrial biopsy. The spots seen on ultrasound might represent uterine polyps (which are very common) or precancerous changes in the uterus. This would also be very easy to sort out with a procedure called a hysteroscopy. Given that she is still having abnormal bleeding, she needs to be further evaluated. Consider that if she has a uterine cancer, this is the most curable of the GYN cancers and it is better sort this out sooner than later. I hope that this helps and good luck! Dr. Tim