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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Irregular Periods. Had Abnormal Cervical Smear Result. Will I Get Cancer?

Hi I am 47 years old have 5 children and always had normal regular periods. This month after approx 10 days after my period finished I started bleeding again. This was sudden and is flooding bright red blood. It has lasted 6 days so far. I have had abnormal cervical smear results about 2 years ago and had the relevant treatment . I have regular smear tests since with negative results. I am worried about cancer. I hSve no pain with it.
Thank you
Caroline sproule
Fri, 19 Apr 2013
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General & Family Physician 's  Response
Hi and thanks for the query,
Bleeding outside your periods deserve a careful evaluation. Considering the fact you have had an abnormal smear before, this becomes very compelling. However, the commonest symptom instead in cervical cancer is usually bleeding after sexual intercourse, however, this is not seen in all cases.
It would first of all be important to know if you are on any birth control method or not. If not, you might need to do a pregnancy test to exclude a miscarriage.
As females approach menopause however, it is not unusual to experience some abnormalities in bleeding patterns.
Its of utmost importance to consult your gynecologist to get first an abdominal and pelvic ultrasound to ascertain the integrity of the ovaries and the texture of the uterus. Common causes of bleeding such as fibroids must also be excluded. An examination called a hysteroscopy might be needed at some point in time to visualize the uterus and see if there exists any abnormal growths inside.
Booking an appointment with your gynecologist is my advice as I wish you the best of health.
Best regards,
Luchuo, MD.
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General & Family Physician Dr. S. Jegadeesan's  Response
Hi,
You are 47 yrs old, have 5 children, with regular period so far, that itself indicates that you are normal. The 2nd bleeding within 10 days is normal in color and so far 6 days. OK. This is only menopausal symptom.You say abnormal cervical smear. What was the indication, what was the result, what treatment was given, why you are doing repeat cervical smear and what you mean by normal cervical smear since then. These questions need answer, Any how out of the way you have expressed I think they had a doubt of malignancy prior to your 1st cervical smear. result might have been some inflammatory condition for which treatment is given. The follow up smear has clearly shown that it is malignant Negative. They have suggested follow up periodical cervical smear. From this you can understand that you are not suffering from cancer till now. If you are more worried, if you are fit enough after consulting the gynecologist you can remove the uterus.
Best wishes
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General Surgeon Dr. Dr. Ivan Romich's  Response
Hi and welcome to HCM.
Cancer isnt first thing to think of. Abnormal bleeding is common and many benign disorders cause it such as hormonal imbalance, ovarian cysts ,endometrial disorders etc. There is no need to be cocerned just do gyn work up including ultrasounds and hormonal levels. EVen if tumour is found it would be early stage which is easily terated. WIsh you good health.
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Cancer comes late in the long list of causes in such profuse bleed...
Abnormal smear does not mean - every abnormality must be from that...
There are several simple curable conditions, which can be incidental...
See your gynaecologist and get investigated...earlier, the better...

Take care
Wishing speedy recovery
God bless
Good luck
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Irregular Periods. Had Abnormal Cervical Smear Result. Will I Get Cancer?

Hi and thanks for the query, Bleeding outside your periods deserve a careful evaluation. Considering the fact you have had an abnormal smear before, this becomes very compelling. However, the commonest symptom instead in cervical cancer is usually bleeding after sexual intercourse, however, this is not seen in all cases. It would first of all be important to know if you are on any birth control method or not. If not, you might need to do a pregnancy test to exclude a miscarriage. As females approach menopause however, it is not unusual to experience some abnormalities in bleeding patterns. Its of utmost importance to consult your gynecologist to get first an abdominal and pelvic ultrasound to ascertain the integrity of the ovaries and the texture of the uterus. Common causes of bleeding such as fibroids must also be excluded. An examination called a hysteroscopy might be needed at some point in time to visualize the uterus and see if there exists any abnormal growths inside. Booking an appointment with your gynecologist is my advice as I wish you the best of health. Best regards, Luchuo, MD.