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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Vaginal Bleeding After Menopause?

I am 63 years old, last menstrual cycle when I was 37 years old. Within the last year, I ve had a slight pink discharge once a month for a total of 5 times. Each one lasts less than a day, often with the associated cramps I experienced when I was menstruating regularly. The sour odour is there as well. However, today is day two of the very light discharge. The only meds I take are HRT (estrogel and prometrium )and Zoplicone. What is my body trying to tell me?
posted on Sun, 26 Oct 2014
Twitter Thu, 17 Aug 2017 Answered on
Twitter Thu, 17 Aug 2017 Last reviewed on
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OBGYN,  's  Response
Hello,
Thanks for sharing your health concern with us. In the current scenario, the possible causes for the discharge are- 1. infection, 2. trauma, 3. hormonal imbalance, 4. erosion of the cervix, atrophy of the vaginal mucosa, 5. endometrial hyperplasia, endometrial polyps and metaplasia. I would ask you to get a complete evaluation including cervical and vaginal swabs, pap smear and if necessary a colposcopy, sonogram of the pelvis preferably in the trans-vaginal route and urinalysis. Further management can be planned accordingly. Hope this helps.
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What Causes Vaginal Bleeding After Menopause?

Hello, Thanks for sharing your health concern with us. In the current scenario, the possible causes for the discharge are- 1. infection, 2. trauma, 3. hormonal imbalance, 4. erosion of the cervix, atrophy of the vaginal mucosa, 5. endometrial hyperplasia, endometrial polyps and metaplasia. I would ask you to get a complete evaluation including cervical and vaginal swabs, pap smear and if necessary a colposcopy, sonogram of the pelvis preferably in the trans-vaginal route and urinalysis. Further management can be planned accordingly. Hope this helps.