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Possibility of genital prolapse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3385 Questions
User :   I have been in menopause for 2 1/2 yrs and recently started to lightly bleed again. Not even to wear a pad or tampon but can see it on tissue after urinating. Also have had a long, tubular painful lump along side the outside of vagina (where hair grows). That lasted a few days but then seem to "migrate" to above my clitoris area. I have notice that sometimes when I urinate I will get an odd twinge of pain that seems to becoming from clitoris area as well. Please help!!!
Doctor :   Hello.
Doctor :   Let me read your query.
Doctor :   Since when are you facing this complaints?
User :   for about 2 weeks
Doctor :   Give me your age?
User :   47
Doctor :   Ok.
Doctor :   For how many days there was bleed?
User :   every day, except maybe 2 or 3. Very light but is bright red.
Doctor :   Could you give me more details about the lump?
Doctor :   How big is it?
User :   it was along the side of vagina, deep and felt tubular maybe about 1 /12 to 2 inches in length. I though it might be a pimple or ingrown hair but I did not see it come to a head. It was painful but after about 4 days I noticed it was gone from there and now have a lump on meaty part (deep) above the clitoris area. Also feels tubular and painful
User :   also about 1 inch long
Doctor :   Ok ,you might be having a prolapse
Doctor :   of the cervix
Doctor :   or uterus
User :   what is a prolapse?
Doctor :   The bleeding that you now have is mostly related to this condition
Doctor :   Prolapse is abnormal protrusion or coming out of the internal genital tract
Doctor :   It is quiet common
User :   are these lumps glands?
Doctor :   How many children have you delivered?
User :   2 children
Doctor :   No they are not glands
Doctor :   Were the deliveries a normal one- via vagina?
User :   yes
Doctor :   Were the babies big?
User :   no small 6 lbs
Doctor :   Ok
Doctor :   Whatever it may be, a swelling warrants a clinical examination by an expert, in this case a
Doctor :   gynaecologist
Doctor :   So please do get yourself an appointment with one
User :   yes. I had a pap smear done 4 months ago and it came back normal.
Doctor :   The swelling is only 2 weeks old right?
User :   yes
Doctor :   So you need a revaluation
Doctor :   This has nothing to do
User :   ok.
Doctor :   with the Pap smear
Doctor :   results
User :   ok
User :   so you do not know why I would have the swelling?
Doctor :   I dont even know what exactly the swelling is, without
Doctor :   clinical examination I can only
Doctor :   guide you regarding the possibilities
Doctor :   Sometimes one cant say for sure what it is, inspite of clinical examination, then we make
Doctor :   use of Ultrasound examination
User :   okay. Thank you
Doctor :   So you not only need a clinical exdamination, but other tests too
User :   ok
User :   thank you
Doctor :   Thanks for consulting me at Healthcaremagic. Bye
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