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What Causes Vaginal Bleeding In An Elderly Person?

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Posted on Fri, 27 Jan 2017
Question: what are some possibilities for predictable vaginal bleeding (every 7 to 9 days) at age 74? Amount of bleeding less than a tablespoon - mostly at one time. sometimes a little residual bleeding the next day but usually not.
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Answered by Dr. Dr. Rakhi Tayal (56 minutes later)
Brief Answer:
Can be endometrial pathology.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
In women presenting with your complaint, as many as 15% are presenting with pre-cancerous or cancerous changes of the uterus or cervix. Here is exactly what needs to happen:
1. You need a visit with your OB/GYN and an exam
2. During this exam they need to perform an endometrial biopsy and PAP smear
3. You then need an ultrasound to look at the ovaries and the endometrial lining

If the biopsy is normal and the 'lining' of the uterus is 4mm or less, then there is absolutely no concern for cancer.

Of note, the most common cause of bleeding after menopause is related to the 'thinning' and fragility of the lining of the uterus, followed by polyps of the uterus (which are common).

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
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. Yogesh D
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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 Vaginal Bleeding In An Elderly Person?

Brief Answer: Can be endometrial pathology. Detailed Answer: Hello, Thanks for trusting us with your health concern. In women presenting with your complaint, as many as 15% are presenting with pre-cancerous or cancerous changes of the uterus or cervix. Here is exactly what needs to happen: 1. You need a visit with your OB/GYN and an exam 2. During this exam they need to perform an endometrial biopsy and PAP smear 3. You then need an ultrasound to look at the ovaries and the endometrial lining If the biopsy is normal and the 'lining' of the uterus is 4mm or less, then there is absolutely no concern for cancer. Of note, the most common cause of bleeding after menopause is related to the 'thinning' and fragility of the lining of the uterus, followed by polyps of the uterus (which are common). 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