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vaginal spotting after menopause vaginal spotting after menopause

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Unread 05-25-2004, 06:53 AM
vaginal spotting after menopause

Hi, I just received a phone call from a older friend of mine. She is 68 years old and told me that she is having some vaginal spotting. I am so concerned about her. She has been divorced for years and is all alone. I am worried that this may be uterine cancer. She is having an intravaginal ultrasound today. She doesn't see a specialist and her GP is the one sending her for this ultrasound. Can anyone send some opinions to why a woman would have vaginal spotting long after menopause? I would appreciate any ideas or thoughts. Thanks so much!
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Unread 05-25-2004, 07:57 AM
vaginal spotting after menopause

Hello, Annie,

What a nice friend you are! I'm providing you with a link to the Merck Manual which explains that post-menopausal vaginal bleeding is due to endometrial cancer or atypical endometrial hyperplasia in about 20-30% of the cases.

Merck states that the bleeding may also be caused by estrogen or progesterone use or by genital atrophy secondary to low estrogen levels. Here's the link:

Before my diagnosis of endometrial cancer in April 1999, I had a transabdominal ultrasound which found a lesion which the radiologist concluded was a "probable fibroid." However, my gynecologist did not think that conclusion was correct and did an office endometrial biopsy which diagnosed my cancer. I have heard of other women who have had transvaginal ultrasounds that were normal, despite having endometrial cancer that was subsequently found on endometrial biopsy or D&C.

If I were your friend, I would want to consult with a gynecologic oncologist to make certain that nothing is missed in her diagnostic workup to rule out endometrial cancer.

Best wishes to your friend for benign test results.

Take care,

Unread 05-25-2004, 09:13 AM

Hi, Thank you so much for the information and the Internet link. I am concerned that she is not seeing a specialist. After reading the information, I will carefully suggest that she seeks an opinion of a specialist in this field. I also appreciate you sharing your experience. It is so nice of you to take the time to answer my concern!

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