HomeAnswersObstetrics and Gynecologypostmenopausal period.Why am I having spotting even after getting a hysterectomy?

Had hysterectomy long back and spotting now. Should I be concerned?

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Had hysterectomy long back and spotting now. Should I be concerned?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At September 2, 2016
Reviewed AtOctober 19, 2023

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.

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.

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

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