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What causes lower abdominal pain and vaginal bleeding with mucus after exercising?

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Posted on Mon, 25 Jul 2016
Question: I just turned 65, I've been very healthy throughout my adult life. I exercise regularly, I weigh 111 lbs, and I'm 5.3". I experienced a lot of low stomach pain yesterday, and woke up to a bloody discharge. I am still passing bloody mucus. I went to a new fitness class yesterday completely out of the norm of what I usually do.
Could this be related to a new exercise routine?
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Answered by Dr. Ramadevi Wani (36 minutes later)
Brief Answer:
Fix an appointment with Gynecologist

Detailed Answer:
Hi
Welcome to Healthcare Magic.
I am Dr Ramadevi Wani. I will be answering your concerns today.
I have read your notes.
There is a very small possibility that the bloody discharge could be related to your new exercise routine. The vaginal mucosal lining is very thin at this age and friction with undergarments during exercise may cause some abrasion on the vaginal mucosa resulting in bloody discharge.

In this age group the bloody discharge can be due to several other reasons, like

- inflammation of the thin lining of vagina ( atrophic vaginitis)
-thinning of the lining of uterus ( endometrial atrophy)
- vaginal infection. From your notes it is clear that you do not have infection.
- polyp ( cervical or endometrial). Polyps are growths from the lining of uterus.
- thickening of lining of uterus( endometrial hyperplasia)

- In 10 % of women presenting with this symptom it could be due to cancer of uterus.
Therefore it is important that you have internal examination , ultrasound of uterus and ovaries, Pap smear and endometrial biopsy if need be( biopsy of lining of uterus) to find out the cause for this bloody discharge
So please fix an appointment with the Gynecologist. It is important that you fix an appointment with the Gynecologist at the earliest.

Remember that in 9 out of 10 women the cause is not serious. It is only in 1 in 10 women that the cause is serious.
I hope this helps. If you have further concerns, do write to me. I will be happy to answer.

Best wishes,
Dr Rama

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ramadevi Wani

OBGYN

Practicing since :1985

Answered : 1445 Questions

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What causes lower abdominal pain and vaginal bleeding with mucus after exercising?

Brief Answer: Fix an appointment with Gynecologist Detailed Answer: Hi Welcome to Healthcare Magic. I am Dr Ramadevi Wani. I will be answering your concerns today. I have read your notes. There is a very small possibility that the bloody discharge could be related to your new exercise routine. The vaginal mucosal lining is very thin at this age and friction with undergarments during exercise may cause some abrasion on the vaginal mucosa resulting in bloody discharge. In this age group the bloody discharge can be due to several other reasons, like - inflammation of the thin lining of vagina ( atrophic vaginitis) -thinning of the lining of uterus ( endometrial atrophy) - vaginal infection. From your notes it is clear that you do not have infection. - polyp ( cervical or endometrial). Polyps are growths from the lining of uterus. - thickening of lining of uterus( endometrial hyperplasia) - In 10 % of women presenting with this symptom it could be due to cancer of uterus. Therefore it is important that you have internal examination , ultrasound of uterus and ovaries, Pap smear and endometrial biopsy if need be( biopsy of lining of uterus) to find out the cause for this bloody discharge So please fix an appointment with the Gynecologist. It is important that you fix an appointment with the Gynecologist at the earliest. Remember that in 9 out of 10 women the cause is not serious. It is only in 1 in 10 women that the cause is serious. I hope this helps. If you have further concerns, do write to me. I will be happy to answer. Best wishes, Dr Rama