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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding After Menopause?

I am 63 years old, last menstrual cycle when I was 37 years old. Within the last year, I ve had a slight pink discharge once a month for a total of 5 times. Each one lasts less than a day, often with the associated cramps I experienced when I was menstruating regularly. The sour odour is there as well. However, today is day two of the very light discharge. The only meds I take are HRT (estrogel and prometrium )and Zoplicone. What is my body trying to tell me?
Thu, 17 Aug 2017
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OBGYN,  's  Response
Hello,
Thanks for sharing your health concern with us. In the current scenario, the possible causes for the discharge are- 1. infection, 2. trauma, 3. hormonal imbalance, 4. erosion of the cervix, atrophy of the vaginal mucosa, 5. endometrial hyperplasia, endometrial polyps and metaplasia. I would ask you to get a complete evaluation including cervical and vaginal swabs, pap smear and if necessary a colposcopy, sonogram of the pelvis preferably in the trans-vaginal route and urinalysis. Further management can be planned accordingly. Hope this helps.
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What Causes Vaginal Bleeding After Menopause?

Hello, Thanks for sharing your health concern with us. In the current scenario, the possible causes for the discharge are- 1. infection, 2. trauma, 3. hormonal imbalance, 4. erosion of the cervix, atrophy of the vaginal mucosa, 5. endometrial hyperplasia, endometrial polyps and metaplasia. I would ask you to get a complete evaluation including cervical and vaginal swabs, pap smear and if necessary a colposcopy, sonogram of the pelvis preferably in the trans-vaginal route and urinalysis. Further management can be planned accordingly. Hope this helps.