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What Causes Persistent Vaginal Bleeding Despite Having Normal Biopsy Report?

Posted on Mon, 29 Jun 2015

Question: I am seeing a Gyno/Oncologist because I started having bleeding after not having a period for 13 yrs. She did a biopsy, which came out negative for Cancer. I saw her a week after the biopsy and was still bleeding. She gave me a prescription for EString in hopes that will stop the bleeding. I have had that in for 3 wks. and am still bleeding. But I am also having a problem with being able to think clearly and am extremely tired. I also had a stent put in 2 months ago (main artery 90% blocked) so I don't know if the tiredness is from the Estrogen or from bleeding too much or if the stent has not totally resolved my problem. Any suggestions?

Answered by Dr. Ivo Ditah (46 minutes later)

Brief Answer:
What medications are you taking? Are you on blood thinners?

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this persistent bleeding and all the inconveniences this has caused you. No one sleeps well when the fear of a disease condition being a cancer are mentioned.

After a stent, patients are usually give a blood thinner. This might be the reason for the bleeding and the persistence of your bleeding. Could you please provide a complete list of your medications to me for review?

Feeling fatigued and not able to think clearly is probably related to blood shortage. constant blood loss over 3weeks is enough reason to have anemia and all these symptoms are typical of anemia. I will recommend that you get a blood test to evaluate your blood levels. I await a list of your drugs for review.

I hope this helps. I wish you well. Thanks for using our services and do feel free to ask for more information and clarifications if need be.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (58 minutes later)

A list of meds that I am on: Synthroid 100 mcg 1 in A.M., Omeprzole 20 mg a day in A.M., Fluoxetine (Prozac) 40 mg a day in A.M., Clonazepam (Klonopin) .5 mg 1 tab twice a day, Ranitidine (Zantac) 150 mg 2 tabs at bedtime, Tizanidine (Zanaflex) 2 mg 2 tabs at bedtime, Levocetrizine (Xyzal) 5 mg 1 tab in evening, Rizatriptan (Maxalt) 5 mg 1 at onset of migraine, Gabapentin (Neurontin) 300 mg 2 caps 3x a day, Atorvastatin 10 mg 1 in A.M., Nitrostat .4 mg as needed for esophageal spasm, Tramadol (Ultram) 50 mg 2 tabs 4x day, Plavix (Clopidogral) 75 mg 1 in A.M., low dose aspirin, EString 2 mg vaginal ring, and I take a multivitamin daily.

Answered by Dr. Ivo Ditah (1 hour later)

Brief Answer:
Plavix and low dose aspirin are not helping!

Detailed Answer:
Hi and thanks for this follow up.

Please, plavix and low dose aspirin prevent blood from clotting. This is probably the reason why getting the bleeding to stop is very difficult. Report this to your doctors and let them reconsider these drugs seen the fact that you are bleeding.

I recommend you start taking iron tablets to compensate for the blood loss. I wish you well.

Keep me updated.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar