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Heavy periods, blood after urinating, bleeding after sex. Family history of ovarian cancer. Worried

I am 31 years old I have heavy periods. for the past few months everytime I wipe after urinating there is blood. It isn't coming out on my underwear just when I wipe. there has also been extremely large amounts of blood after sex. Gyno said I was fine and too young to be worried but I really am. Have two aunts and a gramother who died of ovarian cancer what should I do
Asked On : Thu, 25 Apr 2013
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OBGYN 's  Response
Dear Meeshell1001,
This abnormal bleeding should be treated after diagnosing it's cause, which can be done by speculum examination viewing your vagina and cvix and at the same time obtaining a high vaginal swab and a PAP smear, +/- colposcopy if necessary.
This bleeding issue is not related to ovarian cancer. But, Since you have a family history of ovarian cancer, I will give you the recommendations for management of women with high risk of ovarian cancer:
1- counseling with a geneticist and genetic testing for BRCA1 and BRCA2 genes.
2- screening by transvaginal ultrasound every 6-12 months.
3- taking combined oral contraceptive pills as long as you don't wish to get pregnant.
4- if the risk is well documented, you can surgically remove your ovaries once you have completed your family.
5- annual mammography is also recommended after age 30.
At the end I wish you the best of luck and good health.
Dr. Ahmed Bahaa.
Answered: Thu, 25 Apr 2013
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