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Suggest Treatment For Spotting In A Menopause Women

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Posted on Wed, 28 Jan 2015
Question: Hi I am a 71 yr old way past menopause women. I had some spotting. My pelvic exam was good, my
pap smear was good and the ultra sound was good. What was the spotting from? No one seems
concerned but me. Thanks,
doctor
Answered by Dr. Richa Agarwal (50 minutes later)
Brief Answer:
Need further investigation.

Detailed Answer:
Hi,

Thanks for writing to us about it.

I can understand your concern here.

I appreciate your concern because any spotting or bleeding after menopause should be investigated properly.

There are two primary causes of postmenopausal bleeding-

-The Uterus lining becomes too thin- Atrophy (Estrogen deficiency)
-The uterus lining becomes too thick-Endometrial cancer

Other reasons it can be due to polyp, infection and cervical cancer.

If your pap smear and ultrasound reports are normal, then you should go for hysteroscopy along with endometrial biopsy to find out the cause.

Please revert back to me with your reports.

Hoping to hear from you soon.

Good luck.
Regards
Dr.Richa

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Richa Agarwal (18 hours later)
Hi Dr. XXXXXXX

Are every Gyno/ob surgeons? The one option you mentioned, the hysteroscopy, sounds like surgery.
I live in a small town, Bellingham, WA 98226 and I am thinking I should find a gyno/ob in XXXXXXX
next.

Please advise,
GP XXXXXXX
doctor
Answered by Dr. Richa Agarwal (3 hours later)
Brief Answer:
No, every gyno/obs are not a surgeon.

Detailed Answer:
Hi XXXXXXX

Nice to hear from you once again.

These are the answers of your queries.

-No, every gynaecologist is not a surgeon.

- The hysteroscopy is type of diagnostic procedure to see uterine cavity with the help of a hysteroscope.

-It can be done in small clinic, OPD or in hospital with expert hand.

-It can be done by gynaecologist/ physician also.

-If pathology find out then it can be use as a treatment option also( intervention hysteroscopy).

Hope it is helpful.

Good luck.
Regards
Dr.Richa
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. Prasad
doctor
Answered by
Dr.
Dr. Richa Agarwal

OB & GYN Specialist

Practicing since :1999

Answered : 4031 Questions

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Suggest Treatment For Spotting In A Menopause Women

Brief Answer: Need further investigation. Detailed Answer: Hi, Thanks for writing to us about it. I can understand your concern here. I appreciate your concern because any spotting or bleeding after menopause should be investigated properly. There are two primary causes of postmenopausal bleeding- -The Uterus lining becomes too thin- Atrophy (Estrogen deficiency) -The uterus lining becomes too thick-Endometrial cancer Other reasons it can be due to polyp, infection and cervical cancer. If your pap smear and ultrasound reports are normal, then you should go for hysteroscopy along with endometrial biopsy to find out the cause. Please revert back to me with your reports. Hoping to hear from you soon. Good luck. Regards Dr.Richa