Brief Answer:
ATROPHIC VAGINITIS,GROWTH,EROSION OR FOREIGN BODY
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
You could have just felt your normal cervix inside.
Spotting after
menopause ( I assume at 57 you ARE menopausal ) should be investigated though.
It could be mostly due to atrophic vaginitis - the
hormone deficiency affects the local mucosa of the vagina.
It dries up and becomes brittle and fragile.
IT is thus easily prone to injury, breakage and infections, thus leading to spotting .
Also, there could be some erosion, polyp or growth on the cervix, which you might have felt too, and which caused the spotting also.
Are you sure there is no old retained forgotten foreign body inside ?
For a patient with your clinical profile presenting to my clinic,
I would first perform a thorough internal evaluation - per vaginum and per speculum.
Next I would go for a pelvic
ultrasound scan.
If necessary, a swab for infection and a
Pap smear as the findings dictate.
THis workup would reveal diagnosis.
In any case, do not ignore post menopausal spotting in conjunction with a lump.
Please consult a gynaecologist soon.
Take care.