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Menopause (Expert Forum)
Post Menopausal Bleeding
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School
MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy, hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis, sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.
Post Menopausal Bleeding
by ALybella, Aug 03, 2006 12:00AM
2 years ago my mom went to the GYN for some light post meno spotting. The Dr. looked up the vagina and said the bleeding was not coming from the vagina, he said if it was, he would still be able to visualize it throught the scope, if the spotting occurred less than 48 hrs, which it did. He ordered a urinalysis.
He also ordered an ultrasound, whihc revelaed a very slight growth in the fibroid. SHe was referred to on onco, whihc did some test and referred her to a nephrologist. He didn't need her to come back.
1 year later she went back for her physical and the Doctor said her uterus felt fine upon palpation. Normal pap.
On occasion about once very three to four months she will have a lot of itching, a feeling up pressure in her labia, and during those days, she might spot a little. THose days, she itchess alot, feels pressure in the vaginal are as well as some burning upon urination from her vaginal opening.
No almost 32 years later she is scheduled for her yearly. I am alsways terrified thinking she has uterine leiomyosarcoma. She just had a chest x-ray and it was clear. Her blood test are normal aswell as a 15 lbs weght gain. That very slight increase in her fibrpid worried me, how can the popular well known onco-gyno not have worried about it. COuld it have been a dignostic error from the machine. The growth was extremely slight.
PLease help
He also ordered an ultrasound, whihc revelaed a very slight growth in the fibroid. SHe was referred to on onco, whihc did some test and referred her to a nephrologist. He didn't need her to come back.
1 year later she went back for her physical and the Doctor said her uterus felt fine upon palpation. Normal pap.
On occasion about once very three to four months she will have a lot of itching, a feeling up pressure in her labia, and during those days, she might spot a little. THose days, she itchess alot, feels pressure in the vaginal are as well as some burning upon urination from her vaginal opening.
No almost 32 years later she is scheduled for her yearly. I am alsways terrified thinking she has uterine leiomyosarcoma. She just had a chest x-ray and it was clear. Her blood test are normal aswell as a 15 lbs weght gain. That very slight increase in her fibrpid worried me, how can the popular well known onco-gyno not have worried about it. COuld it have been a dignostic error from the machine. The growth was extremely slight.
PLease help
Doctor's Answer
by Machelle Seibel, MD, Aug 07, 2006 12:00AM
, Aug 07, 2006 12:00AM
A. Leiomyosarcoma is very rare, though of course it does happen. If it was that, over two years your mom would be very ill by now so it isn’t likely to be that problem. If she continues to have bleeding from her vagina, it is a good idea at some time to get an endometrial biopsy – using a thing plastic “straw” to go into her uterus during an office visit and scrape out a few cells of the lining. That tissue is sent to the pathologist and with those findings, cancer can be diagnosed. However, it can also let the doctor know if things seem to be just fine or what type of treatment to choose to stop the bleeding.
Sometime vaginal dryness can cause slight spotting and itching. For that, your mom can try an over the counter product called Replens. Apply it into the vagina daily for a week then twice weekly. It usually works in the first few weeks if the problem is due to vaginal dryness
The good news is that a normal chest x-ray and very slightly changed ultrasound make leiomyosarcoma almost certainly not the diagnosis.
Machelle M. Seibel, MD
Sometime vaginal dryness can cause slight spotting and itching. For that, your mom can try an over the counter product called Replens. Apply it into the vagina daily for a week then twice weekly. It usually works in the first few weeks if the problem is due to vaginal dryness
The good news is that a normal chest x-ray and very slightly changed ultrasound make leiomyosarcoma almost certainly not the diagnosis.
Machelle M. Seibel, MD
Member Comments (2)
by ALybella, Aug 03, 2006 12:00AM
Is it true that the Dr. can diagnose if the bleeding is coming from the vagina or urethra by looking in it before 24-48 hours of bleeding
