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What Causes Severe Abdominal Cramps, Nipple Tenderness And Pink Vaginal Bleeding?

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Posted on Thu, 9 Jun 2016
Question: I have ha a post menopausal bleed very light pink and watery with some flaky bits here and there. Lasted for a week/stopped for a week and has started again. A little crampy pain with tender nipples but this has now passed,
Occassionally a cutting like pain through vagina area and frequent urgency to urinate
doctor
Answered by Dr. Dr. Rakhi Tayal (59 minutes later)
Brief Answer:
Can be endometrial cause.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
After menopause all bleeding from the uterus has to be taken very seriously. In women presenting with your complaint, as many as 15% are presenting with pre-cancerous or cancerous changes of the uterus. Here is exactly what needs to happen:
1. You need a visit with your OB/GYN and an exam
2. During this exam they need to perform an endometrial biopsy
3. You then need an ultrasound to look at the ovaries and the endometrial lining

If the biopsy is normal and the 'lining' of the uterus is 4mm or less, then there is absolutely no concern for cancer.

Of note, the most common cause of bleeding after menopause is related to the 'thinning' and fragility of the lining of the uterus, followed by polyps of the uterus (which are common).

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
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 : 14039 Questions

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What Causes Severe Abdominal Cramps, Nipple Tenderness And Pink Vaginal Bleeding?

Brief Answer: Can be endometrial cause. Detailed Answer: Hello, Thanks for trusting us with your health concern. After menopause all bleeding from the uterus has to be taken very seriously. In women presenting with your complaint, as many as 15% are presenting with pre-cancerous or cancerous changes of the uterus. Here is exactly what needs to happen: 1. You need a visit with your OB/GYN and an exam 2. During this exam they need to perform an endometrial biopsy 3. You then need an ultrasound to look at the ovaries and the endometrial lining If the biopsy is normal and the 'lining' of the uterus is 4mm or less, then there is absolutely no concern for cancer. Of note, the most common cause of bleeding after menopause is related to the 'thinning' and fragility of the lining of the uterus, followed by polyps of the uterus (which are common). 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