Is It Normal To Have Watery And Blood Discharge While Taking Hormone Replacement Therapy?

Posted on Tue, 3 Dec 2013

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 3 Dec 2013 Answered on

Thu, 26 Dec 2013 Last reviewed on

Question : Hello, I had a total hysterectomy 15 years ago due to endometriosis. No problems since. Three days ago I had a gushing watery discharge....one time. The next day...same thing with a lot of blood. Some blood later in the day and this morning. The bleeding seems to have stopped. No pain or cramping. I have been on HRT since hysterectomy. What could this be? I do have a doctor appointment. Is this something urgent to be taken care of? I am in medical field so like the bottom line truth...I know this is not normal. Thanks

Answered by Dr. Sree Gouri SR (53 minutes later)

Brief Answer: Granulation tissue etc Detailed Answer: Hi, Thanks for the query. The possible causes for your problem are : - Bleeding from the granulation tissue at the vault. - Persistent bits of endometrial tissue, that can grow and bleed due to hormone replacement therapy. This is usually possible in case of continuous hormone replacement therapy. -If part of cervical tissue was left, the possibility of malignancy has to be ruled out. -After hysterectomy vaginal atrophy can occur. Infection of the vaginal tissue sometimes can lead to spotting. - Other possibilities are post coital bleeding, bleeding from urethra or rectum intererpred as vaginal bleeding etc. Possibly by examination the cause for your problem can be identified and treated. Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar