bleeding

What causes vaginal bleeding in liver disease?  Is it blood clooting issues?  And can you have a norman Prothrombin time
a normal PTT and still have vaginal bleeding?

[Kevin Pho, MD]

There can be many causes of vaginal bleeding.  

Severe liver disease (i.e. cirrhosis) can lead to clotting problems - however this possibility is less likely with a normal PT time.  

Increased portal hypertension caused by liver disease can lead to hemorrhoids, which may be mistaken for vaginal bleeding.  

I would ensure there are no GYN diseases present, like cervical or endometrial disease.  These options can be discussed with your gynecologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_