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Is Post Menopausal Cramping And Bleeding Symptoms Of Ovarian Cancer?

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Posted on Sun, 9 Mar 2014
Twitter Sun, 9 Mar 2014 Answered on
Twitter Tue, 1 Apr 2014 Last reviewed on
Question : do i have ovarian cancer? , post menopausal cramping and bleeding for 4 days, have had GI problems most my life. feeling extra pressure on right mid to upper abdomen. polyp on cervix. pap smears have always been normal. had same problems 20 years ago without bleeding. had laparoscopy, found a lot of scar tissue had it removed and feeling left. history of hrt placement therapy endometrial cancer and cervical cancer in family. also had two very large fibroid tumors remove in 1988. benign. also had polyps removed from stomach and bowels two different times.benign.
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Answered by Dr. Dr. Rakhi Tayal (2 hours later)
Brief Answer: Ovarian cancer less likely. Detailed Answer: Hello, Thanks for trusting us with your health concern. At age 62, all bleeding from the uterus has to be taken very seriously. In women presenting with your complaint, as many as 15% are presenting with pre-cancerous or cancerous changes of the uterus. Vaginal atrophy or dryness or medicines like aspirin can also cause such a bleeding. Here is exactly what needs to happen: 1. You need a visit with your OB/GYN and an exam 2. During this exam they need to perform an endometrial biopsy 3. You then need an ultrasound to look at the ovaries and the endometrial lining If the biopsy is normal and the 'lining' of the uterus is 4mm or less, then there is absolutely no concern for cancer. Of note, the most common cause of bleeding after menopause is related to the 'thinnin' and fragility of the lining of the uterus, followed by polyps of the uterus (which are common). Ovarian cancer is less likely but needs to be ruled out. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. Rakhi Tayal

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Is Post Menopausal Cramping And Bleeding Symptoms Of Ovarian Cancer?

Brief Answer: Ovarian cancer less likely. Detailed Answer: Hello, Thanks for trusting us with your health concern. At age 62, all bleeding from the uterus has to be taken very seriously. In women presenting with your complaint, as many as 15% are presenting with pre-cancerous or cancerous changes of the uterus. Vaginal atrophy or dryness or medicines like aspirin can also cause such a bleeding. Here is exactly what needs to happen: 1. You need a visit with your OB/GYN and an exam 2. During this exam they need to perform an endometrial biopsy 3. You then need an ultrasound to look at the ovaries and the endometrial lining If the biopsy is normal and the 'lining' of the uterus is 4mm or less, then there is absolutely no concern for cancer. Of note, the most common cause of bleeding after menopause is related to the 'thinnin' and fragility of the lining of the uterus, followed by polyps of the uterus (which are common). Ovarian cancer is less likely but needs to be ruled out. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal