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Vaginal bleeding after hysterectomy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   i had a hysterectomy 11 years ago leaving the ovaries. however recently i have had pain in my lower left side and have had some vaginal bleeding can you tell me what is likely to be causing it?
Doctor :   Hi
User :   hi
User :   hi
User :   what is likely to be causing the bleeding considering i dont have periods?
Doctor :   please wait
User :   ok
Doctor :   How old are you?
User :   40
Doctor :   Do you have any vaginal discharge?
User :   no
Doctor :   Is spotting or heavy bleeding?
User :   spotting
Doctor :   Is the bleeding related to intercourse?
User :   no
Doctor :   Do you have any urinary incontinence?
User :   no
Doctor :   Do you have any pain?
User :   yes in the lower left side and during intercourse
Doctor :   I mean is there pain during intercourse?
User :   yes
Doctor :   Are you taking any harmones?
User :   yes hrt implants 100 mg oestrogen
Doctor :   When was your last papsmear done?
User :   10 yrs ago
Doctor :   here I have few recommendation
Doctor :   1.
The bleeding could be from infection in the cervix
Doctor :   (Cervicitis)
User :   i had a hysterectomy i dont have a cervix
Doctor :   I understand they will remove the cervix but I do not know the status of the cervix whether they completely removed or partially left it
User :   completely removed
Doctor :   How long you have spotting?
User :   a few months
Doctor :   It could be Excess Estrogen component
User :   my levels have been tested and are fine
Doctor :   I advise further testing before coming to diagnosis
Doctor :   You need Ultrasound of the Lower abdomen
User :   what will thi s check for
Doctor :   You needs vaginal examination and sample should be send cultures
Doctor :   it could be minor infections
Doctor :   Infections in vagina
User :   would an infection not produce a discharge?
Doctor :   It is very rare without discharge
User :   i dont have discharge
Doctor :   we can completely assume with history
Doctor :   pap smear is still indicated in post hysterectomy patients
User :   i have not had one since the hysterectomy i didnt think i needed it
Doctor :   I strongly advise to get the Pap smear and routine vaginal examination and sample sent for examination
Doctor :   This is my opinion
User :   ok ty
Doctor :   Thank you for consulting.
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