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Is It Normal To Have Watery And Blood Discharge While Taking Hormone Replacement Therapy?

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Posted on Thu, 26 Dec 2013
Question: Hello, I had a total hysterectomy 15 years ago due to endometriosis. No problems since. Three days ago I had a gushing watery discharge....one time. The next day...same thing with a lot of blood. Some blood later in the day and this morning. The bleeding seems to have stopped. No pain or cramping. I have been on HRT since hysterectomy. What could this be? I do have a doctor appointment. Is this something urgent to be taken care of? I am in medical field so like the bottom line truth...I know this is not normal. Thanks
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Answered by Dr. Sree Gouri SR (53 minutes later)
Brief Answer: Granulation tissue etc Detailed Answer: Hi, Thanks for the query. The possible causes for your problem are : - Bleeding from the granulation tissue at the vault. - Persistent bits of endometrial tissue, that can grow and bleed due to hormone replacement therapy. This is usually possible in case of continuous hormone replacement therapy. -If part of cervical tissue was left, the possibility of malignancy has to be ruled out. -After hysterectomy vaginal atrophy can occur. Infection of the vaginal tissue sometimes can lead to spotting. - Other possibilities are post coital bleeding, bleeding from urethra or rectum intererpred as vaginal bleeding etc. Possibly by examination the cause for your problem can be identified and treated. Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. Take care.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sree Gouri SR

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Practicing since :2006

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Is It Normal To Have Watery And Blood Discharge While Taking Hormone Replacement Therapy?

Brief Answer: Granulation tissue etc Detailed Answer: Hi, Thanks for the query. The possible causes for your problem are : - Bleeding from the granulation tissue at the vault. - Persistent bits of endometrial tissue, that can grow and bleed due to hormone replacement therapy. This is usually possible in case of continuous hormone replacement therapy. -If part of cervical tissue was left, the possibility of malignancy has to be ruled out. -After hysterectomy vaginal atrophy can occur. Infection of the vaginal tissue sometimes can lead to spotting. - Other possibilities are post coital bleeding, bleeding from urethra or rectum intererpred as vaginal bleeding etc. Possibly by examination the cause for your problem can be identified and treated. Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. Take care.