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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Vaginal Bleeding

I ve had vaginal bleeding for a month Pap smear is normal and hormones are also normal what could be causing it - no other medical history nothing unusual other than yeast infection one month ago and doc mentioned my ph was off treated with one diflucan pill and vaginal gel like insert for three days but haven t stopped bleeding since then
posted on Thu, 30 Apr 2015
Twitter Wed, 22 Feb 2023 Answered on
Twitter Thu, 23 Feb 2023 Last reviewed on
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General & Family Physician 's  Response
Hi,

Persistent vaginal bleeding can have various causes, including hormonal imbalances, infections, uterine or cervical abnormalities, or certain medications. Since your Pap smear and hormone levels are normal, it is important to consider other possible causes.

Given that you had a yeast infection recently and were treated with Diflucan, it is possible that the bleeding is related to the treatment or the infection. Vaginal yeast infections can sometimes cause irritation and inflammation, which can lead to bleeding. In addition, Diflucan can cause side effects like vaginal discharge and bleeding in some cases.

To treat persistent vaginal bleeding, you should speak with your doctor to determine the underlying cause. They may recommend additional testing, such as a pelvic exam, ultrasound, or biopsy. Depending on the cause, treatment options may include:
* Medications: If the bleeding is related to an infection, your doctor may prescribe antibiotics or antifungal medication.
* Hormonal therapy: If the bleeding is caused by hormonal imbalances, your doctor may recommend hormonal therapy to regulate your menstrual cycle.
* Surgical procedures: If the bleeding is caused by uterine or cervical abnormalities, your doctor may recommend surgical procedures, such as a hysteroscopy or dilation and curettage (D&C), to remove the abnormal tissue.
* Supportive measures: Your doctor may recommend measures to reduce bleeding, such as bed rest, avoiding physical exertion, and taking iron supplements to prevent anemia.

It is important to follow up with your doctor regularly to monitor your condition and ensure that the bleeding is properly managed. If you experience severe or prolonged bleeding, seek medical attention immediately.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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Suggest Treatment For Persistent Vaginal Bleeding

Hi, Persistent vaginal bleeding can have various causes, including hormonal imbalances, infections, uterine or cervical abnormalities, or certain medications. Since your Pap smear and hormone levels are normal, it is important to consider other possible causes. Given that you had a yeast infection recently and were treated with Diflucan, it is possible that the bleeding is related to the treatment or the infection. Vaginal yeast infections can sometimes cause irritation and inflammation, which can lead to bleeding. In addition, Diflucan can cause side effects like vaginal discharge and bleeding in some cases. To treat persistent vaginal bleeding, you should speak with your doctor to determine the underlying cause. They may recommend additional testing, such as a pelvic exam, ultrasound, or biopsy. Depending on the cause, treatment options may include: * Medications: If the bleeding is related to an infection, your doctor may prescribe antibiotics or antifungal medication. * Hormonal therapy: If the bleeding is caused by hormonal imbalances, your doctor may recommend hormonal therapy to regulate your menstrual cycle. * Surgical procedures: If the bleeding is caused by uterine or cervical abnormalities, your doctor may recommend surgical procedures, such as a hysteroscopy or dilation and curettage (D&C), to remove the abnormal tissue. * Supportive measures: Your doctor may recommend measures to reduce bleeding, such as bed rest, avoiding physical exertion, and taking iron supplements to prevent anemia. It is important to follow up with your doctor regularly to monitor your condition and ensure that the bleeding is properly managed. If you experience severe or prolonged bleeding, seek medical attention immediately. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician