Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

129 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Abnormal vaginal bleeding with pain. Found bulky uterus and ovary. Endometrial or cervical cancer?

Answered by
Dr. Manjunath L Ramarajapalli

OBGYN, Gynecologic Oncology

Practicing since :1984

Answered : 99 Questions

Posted on Mon, 4 Feb 2013 in Head Injuries
Question: Hi I have been having bleeding daily with pain that comes and goes. An ultrasound one month ago when all this started showed a normal uterus size and all looke good except for some free fluid near one ovary and behind my uterus...I was told this is normal and probably the result of a follicle rupture. Blood tests showed two inflammatory markers were up. I know one is CRP but cant remember the other one. I recently had a diagnostic laparoscopy at the same time of umbilical hernia repair. The surgeon noted a very bulky uterus and ovary high up in abdomen. Since I have seen my GP for a referral to my gynecologist, the GP did a thin prep test which I'm waiting for results. She found something on cervix sorry cant remember name but it's when bit of endometrium sits on outside of cervix. I take XXXXXXX 35Ed daily. She couldnt complete XXXXXXX examination as I was in way too much pain and there was too much blood. She has stated on referral painful intercourse as well as couldn't palpate fornices not sure what this means. My mum has had stage 1 endometrial cancer burnt off neck of uterus in past. Does this sound like endometrial or cervical cancer or could it be something else?
Answered by Dr. Manjunath L Ramarajapalli 2 hours later

Your GP probably saw a bit of endometrium sits on cervix. Probably this is endometriosis.

Endometriosis is known to give rise to pain and post coital bleeding/spotting.

Fornices can be palpated/examined under anesthesia, if required.

Endometrial and cervical cancers should be ruled out by diagnostic D & C/cervical biopsy.
Thin Prep (pap) test is screening test to rule out cervical cancer.

Discuss about these options with your treating doctor. Let me know if you have more queries.

Good luck.

Above answer was peer-reviewed by : Dr. Shanthi.E
Follow up: Dr. Manjunath L Ramarajapalli 1 hour later
If it is endometriosis shouldn't the surgeon who did the diagnostic laparoscopy eyeball this during the operation? He only noticed a very enlarged and bulky uterus. He did say he didn't see any endometriosis but could he have missed it?
Answered by Dr. Manjunath L Ramarajapalli 37 minutes later

Endometriosis is the presence of endometrial tissue other than in the normal place (uterus).
This may be the endometriosis of the cervix. Probably there was no abdominal endometriosis when laparoscopy was done.

Hope this clarifies.

Above answer was peer-reviewed by : Dr. Shanthi.E
Follow up: Dr. Manjunath L Ramarajapalli 29 minutes later
Ok just to clarify my referral says ectropion present. Could this still mean what your saying?
Answered by Dr. Manjunath L Ramarajapalli 41 minutes later

No, ectropion is everted cervical lips. This is clinical diagnosis, not pathological.

Above answer was peer-reviewed by : Dr. Shanthi.E

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  
Medical Topics ,  

Recent questions on  Ectropion

doctor1 MD

I am a 70 year man. who was born with congential ptotis. I was having a discharge on my left eye and droopy lower eye lids. I was referred to a ophthalmologist (Dr Tao with Uci in XXXXXXX Ca. On Oct 9th 2015 Dr Tao did a ectropion surgery on me....

doctor1 MD

Dear Doctor, I forgot to take the pill last week. In the following day I took two pills and am taking antibiotic for amigdalitis. Today, I lost blood (not much) and went to an emergency of gynecology. the doctor say this was due to having...

doctor1 MD

I had ectropion surgery Oct 9 I was born with congential Ptosis . I'm not sure if things are healing correctly my appearance is horrible I feel like my upper lids are extra burden with holding my lower lids I look very oriental now with small...

doctor1 MD

Cervica; ectropion Q : I have a cervical ectropy which causes excessive amount of bleeding between periods. I have had numerous tests and am told it is due to contraceptives previously taken (I\ ve been off these since June 10). I have a clear biopsy and have had STD tests which are clear. I and my partner are also hoping to conceive and have been loosely trying for 6 months. I am due some surgery for the ectropy soon but would like to know if the ectropy is damping my chances of conceiving, given the amount of blood. I fully understand my menstrual cycle and am having a normal cycle with tested evidence of LH at regular intervals each month. My partner and I are concerned but there is no pressure or stress regarding the issue between us. We would just like to know if the ectropy can prevent conception and some information as to how. thanks