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Hysterectomy done. Taking lupron for recurring symptoms of endometriosis. Concerned for cervical cancer

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I am 38yo that is post hysterectomy with right salpingoopherectomy in 2008. I recently had to restart Lupron for recurring symptoms of endometriosis however. Within the last 2 months I have had post coital bleeding and am concerned about cervical cancer. I most recent pap (fall 2012) was normal. Should I be concerned? I have no other symptoms other than some very mild discomfort with intercourse.
Posted Sun, 28 Apr 2013 in Cervical and Ovarian Cancer
Answered by Dr. Timothy Raichle 2 hours later
Hello, I would be happy to help you with your question.

When they did your hysterectomy, did they leave the cervix?
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Follow-up: Hysterectomy done. Taking lupron for recurring symptoms of endometriosis. Concerned for cervical cancer 29 minutes later
Yes, it was cervical sparing
Answered by Dr. Timothy Raichle 2 hours later
Thank you for the followup information. I am sorry for the delay.

In the setting of prior normal pap smears, the concern about cervical cancer is extremely low. Consider that putting you on Lupron temporarily makes you menopausal. This leads to low estrogen levels and 'thinning' of the skin in the vagina. Due to this 'thinning' and fragility of the vagina, pain with intercourse, and even bleeding with intercourse is not uncommon. In fact, this is a common complaint among post-menopausal women.

The best thing to do would be the following:
1. Schedule a visit with your OB
2. Have them do an exam to evaluate my theory
3. If there is no other explanation for the bleeding, then ask for vaginal estrogen. The best way to deliver this (without exacerbating your endometriosis) is a tablet called Vagifem
4. You need to use lubricants with intercourse, such as Astroglide.

Do not worry about cancer - this is extremely unlikely! Good luck.
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