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Hi, I've been post menopausal since age 50. I was

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Posted on Tue, 26 Feb 2019
Question: Hi, I've been post menopausal since age 50. I was surprised to find some blood when I went to the bathroom tonight. Looks like vaginal bleeding. I have not had any lower abdominal pain. I haven't spotted in years, since menopause. Any ideas?
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Answered by Dr. Rakhi Tayal (39 minutes later)
Brief Answer:
Can be due to vaginal dryness.

Detailed Answer:
Hello,
Thanks for posting your query.
Post menopausal bleeding is a common problem however the most common cause is a problem with the endometrial lining of the uterus.

The most common other causes would be vaginal atrophy or dryness or problems related to the cervix.
The vaginal dryness would respond to topical estrogen replacement creams and a pap smear would be able to assess the state of the cervix to determine if there are any problems with it.
Lesions of the ovary can also cause this symptom but this can be ruled out on ultrasound.

You need to consider visiting your doctor for a comprehensive imaging and blood investigations (full blood count, ESR (checks for inflammation), ultrasound scan and if needed endometrial biopsy, CEA).

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Wishing you good health.
Regards.
Dr. Rakhi Tayal

Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Rakhi Tayal (18 minutes later)
I will follow up with my gynecologist. I had to change insurance plans, so I missed my last pap smear. I don't have a gynecologist so I'm starting over with a new doctor. I will ask that they do the imaging and blood investigations you have suggested.

Thank you!
doctor
Answered by Dr. Rakhi Tayal (14 hours later)
Brief Answer:
Investigations are needed.

Detailed Answer:
Hello.
Thanks for writing again.
The investigations will help in ruling out any serious causes.
You can get the estrogen gel prescribed from your gynecologist for relief.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13808 Questions

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Hi, I've been post menopausal since age 50. I was

Brief Answer: Can be due to vaginal dryness. Detailed Answer: Hello, Thanks for posting your query. Post menopausal bleeding is a common problem however the most common cause is a problem with the endometrial lining of the uterus. The most common other causes would be vaginal atrophy or dryness or problems related to the cervix. The vaginal dryness would respond to topical estrogen replacement creams and a pap smear would be able to assess the state of the cervix to determine if there are any problems with it. Lesions of the ovary can also cause this symptom but this can be ruled out on ultrasound. You need to consider visiting your doctor for a comprehensive imaging and blood investigations (full blood count, ESR (checks for inflammation), ultrasound scan and if needed endometrial biopsy, CEA). I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal Wishing you good health. Regards. Dr. Rakhi Tayal