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What Causes Abnormal Vaginal Bleeding After Menopause?

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Posted on Thu, 17 Nov 2016
Question: I have had post menopausal bleeding and have atypical cells in my cervix, should I have a complete hysterectomy?
doctor
Answered by Dr. Dr. Rakhi Tayal (18 minutes later)
Brief Answer:
Cervical biopsy should be done.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Atypical cells on pap smear is not an indication for total hysterectomy.It can happen due to HPV infecton also. These do not suggest a pre cancerous stage. After a LEEP procedure, colposcopy and cervical biopsy should be done to rule out any malignancy and further follow up PAP smears are needed every 6 months in case the biopsy comes negative.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Rakhi Tayal (4 minutes later)
I had a endometrial biopsy and dr said I have the atypical cells in cervix and so she's doing leep procedure in 2 weeks, she says if cells are cancerous it could have or could go to uterus and wants to do partial hysterectomy, I'm XXXX
doctor
Answered by Dr. Dr. Rakhi Tayal (9 hours later)
Brief Answer:
In case LEEP suggests cancer, then go for hysterectomy.

Detailed Answer:
Hello.
Thanks for writing again.
If the cancerous cells are detected on LEEP then it is best to get a partial hysterectomy done to avoid any further spread of the atypical cells. Your doctor has advised you correctly.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
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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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14041 Questions

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What Causes Abnormal Vaginal Bleeding After Menopause?

Brief Answer: Cervical biopsy should be done. Detailed Answer: Hello, Thanks for trusting us with your health concern. Atypical cells on pap smear is not an indication for total hysterectomy.It can happen due to HPV infecton also. These do not suggest a pre cancerous stage. After a LEEP procedure, colposcopy and cervical biopsy should be done to rule out any malignancy and further follow up PAP smears are needed every 6 months in case the biopsy comes negative. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal