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Can Warfarin Cause Heavy And Prolonged Vaginal Bleeding?

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Posted on Mon, 1 Dec 2014
Question: I am on warfarin. My numbers say I am in menopause, but I still bleed every
Month. Sometimes one week, sometimes three!! When this all started three years ago, I had all tests done including biopsy. Everything was fine. I just keep thinking it will end!! Can it be thin vaginal wall bleeding because of warfarin? If I put a tampon in, the blood is dry (no mucous) and bright red and always just on one side. Warfarin problems?
doctor
Answered by Dr. Dr. Rakhi Tayal (17 minutes later)
Brief Answer:
Can be due to warfarin.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The bleeding that you are having is likely to be due to warfarin. You need to get your coagulation profile and INR evaluated and get the doses of warfarin adjusted accordingly. Avoid taking aspirin or any pain killers as these can aggravate the bleeding.
If the hormonal tests are suggestive of menopause then the bleeding is not likely to be due to hormonal causes.
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
doctor
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Follow up: Dr. Dr. Rakhi Tayal (2 minutes later)
If i had a biopsy three years ago when it all started, should i worry about cancer? I do have a burning vagina so it seems vaginal wall related. Pap and pelvic was fine in XXXXXXX .
doctor
Answered by Dr. Dr. Rakhi Tayal (53 minutes later)
Brief Answer:
Repeat biopsy is needed.

Detailed Answer:
Hello.
Thanks for writing again.
If the biopsy report is 3 years old and there is a history of irregular vaginal bleeding then a repeat biopsy is needed to rule out endonetrial cancer.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (1 minute later)
Another doctor told me it takes 5-7 years for endometrial cancer to develop. Thete was no hyperplasia at that time
doctor
Answered by Dr. Dr. Rakhi Tayal (13 minutes later)
Brief Answer:
Still needs to be ruled out.

Detailed Answer:
Yes. endometrial cancer is slow to develop. But it should be ruled out since you are having symptoms. The rate of progression of cancer varies from person to person.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (2 minutes later)
Ok but i am such a worry wart. Being that symptoms havent changed except for less bleeding than then, do you think it is more likely to be warfarin and atrophy?
doctor
Answered by Dr. Dr. Rakhi Tayal (21 minutes later)
Brief Answer:
Yes.

Detailed Answer:
Yes Warfarin therapy and atrophic vaginal wall are the more likely causes for the bleeding.
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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Can Warfarin Cause Heavy And Prolonged Vaginal Bleeding?

Brief Answer: Can be due to warfarin. Detailed Answer: Hello, Thanks for trusting us with your health concern. The bleeding that you are having is likely to be due to warfarin. You need to get your coagulation profile and INR evaluated and get the doses of warfarin adjusted accordingly. Avoid taking aspirin or any pain killers as these can aggravate the bleeding. If the hormonal tests are suggestive of menopause then the bleeding is not likely to be due to hormonal causes. 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