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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Hormone Therapy And Insulin For Diabetes Result In Unprecedented Spotting?

I am having blood spotting from vagina. I take hormone therapy, I am 66. My gyno suggested I stop taking hormone therapy. If I do stop, will I bleed heavily like a bad period? He has also suggested a hystoscopy. I forgot to ask the appropriate questions of course. I am also on Byetta insulin for my diabetes. HBa1c=6.9. Good control.
Tue, 25 Feb 2014
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OBGYN 's  Response
Hello, I would be happy to help you with your question.

You are experiencing postmenopausal bleeding. This is very serious as the risk for cancer or pre-cancerous changes is as high as 15%. Your OB/GYN's advice is exactly right - stop the hormones until this is sorted out. You should have an ultrasound AND an endometrial biopsy BEFORE a hysteroscopy. If this does not jibe with their advice, then seek a second opinion as soon as possible.

I hope that this helps and good luck!
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Could Hormone Therapy And Insulin For Diabetes Result In Unprecedented Spotting?

Hello, I would be happy to help you with your question. You are experiencing postmenopausal bleeding. This is very serious as the risk for cancer or pre-cancerous changes is as high as 15%. Your OB/GYN s advice is exactly right - stop the hormones until this is sorted out. You should have an ultrasound AND an endometrial biopsy BEFORE a hysteroscopy. If this does not jibe with their advice, then seek a second opinion as soon as possible. I hope that this helps and good luck!