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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Spotting In The Age Of 90?

My 90 year old grandmother has started with vaginal spotting, dark in color in the past couple of weeks. She has not wanted to go to the doctor and she has deteriorated within the past couple of months. Decreased activity, loss of appetite, and has been sleeping way too much. What could the vaginal bleeding be caused by?
Thu, 7 Jul 2016
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OBGYN,  's  Response
Hi
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani. I will be answering your concerns today.
I have read your notes. I appreciate your concerns.

In this age group the bloody vaginal discharge can be due to several reasons, like

- inflammation of the thin lining of vagina ( atrophic vaginitis)
-thinning of the lining of uterus ( endometrial atrophy)
- vaginal infection.
- polyp ( cervical or endometrial). Polyps are growths from the lining of uterus.
- thickening of lining of uterus( endometrial hyperplasia)

- In 10 % of women presenting with this symptom it could be due to cancer of uterus.
Therefore it is extremely important that you take your grandmother to doctor for internal examination , ultrasound of uterus and ovaries, Pap smear and endometrial biopsy if need be( biopsy of lining of uterus) to find out the cause for this bloody discharge.
So please fix an appointment with the Gynecologist at the earliest.

Remember that in 9 out of 10 women the cause is not serious. It is only in 1 in 10 women that the cause is serious.
I hope this helps. If you have further concerns, do write to me. I will be happy to answer.

Best wishes,
Dr Rama
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What Causes Vaginal Spotting In The Age Of 90?

Hi Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns today. I have read your notes. I appreciate your concerns. In this age group the bloody vaginal discharge can be due to several reasons, like - inflammation of the thin lining of vagina ( atrophic vaginitis) -thinning of the lining of uterus ( endometrial atrophy) - vaginal infection. - polyp ( cervical or endometrial). Polyps are growths from the lining of uterus. - thickening of lining of uterus( endometrial hyperplasia) - In 10 % of women presenting with this symptom it could be due to cancer of uterus. Therefore it is extremely important that you take your grandmother to doctor for internal examination , ultrasound of uterus and ovaries, Pap smear and endometrial biopsy if need be( biopsy of lining of uterus) to find out the cause for this bloody discharge. So please fix an appointment with the Gynecologist at the earliest. Remember that in 9 out of 10 women the cause is not serious. It is only in 1 in 10 women that the cause is serious. I hope this helps. If you have further concerns, do write to me. I will be happy to answer. Best wishes, Dr Rama