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What could cause spotting after a past hysterectomy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am spotting for the past three days. I had complete hysterectomy about 23 years ago and I am not sexually active. Why am I spotting? Should I be concerned? I am currently on Plavix, Aspirin and Lipitor.
Answered by Dr. Sanjay Kumar Bhattacharyya

Education:

MBBS

Professional Bio:

Dr. Sanjay Kumar Bhattacharyya is a trusted Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, childbirth, and postpartum management. His expertise covers the treatment of conditions related to the uterus, ovaries, breasts, and overall gynecological wellness. With a compassionate and patient-centered approach, Dr. Bhattacharyya provides personalized care and guidance, ensuring comprehensive solutions for maternal health and gynecological concerns across all stages of a woman’s life.

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Hi,

Welcome to icliniq.com.

Yes, this is a postmenopausal bleeding and definitely needs a consultation. As you had a total hysterectomy, I presume it could be due to atrophic vaginitis. This can occur when your dry vagina gets torn following any kind of friction. I suggest you to stop sex for a few days. Obviously, you need a clinical examination by your GP (general practitioner). If it is truly an atrophic vaginitis, then you need some estrogen cream to apply locally as well as some lubricants during sex.

The Probable causes

Postmenopausal bleeding.

Differential diagnosis

1. Vaginal infection.

2. Vulval growth.

Probable diagnosis

Atrophic vaginitis.

Preventive measures

Use lubricants during sex.
Medically reviewed by iCliniq medical review team
Published At September 2, 2016
Reviewed At July 15, 2024

Education:

MBBS

Professional Bio:

Dr. Sanjay Kumar Bhattacharyya is a trusted Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, childbirth, and postpartum management. His expertise covers the treatment of conditions related to the uterus, ovaries, breasts, and overall gynecological wellness. With a compassionate and patient-centered approach, Dr. Bhattacharyya provides personalized care and guidance, ensuring comprehensive solutions for maternal health and gynecological concerns across all stages of a woman’s life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sanjay Kumar Bhattacharyya
Dr. Sanjay Kumar Bhattacharyya

Obstetrics and Gynecology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Sanjay Kumar Bhattacharyya is a trusted Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, childbirth, and postpartum management. His expertise covers the treatment of conditions related to the uterus, ovaries, breasts, and overall gynecological wellness. With a compassionate and patient-centered approach, Dr. Bhattacharyya provides personalized care and guidance, ensuring comprehensive solutions for maternal health and gynecological concerns across all stages of a woman’s life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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