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

Answered by
Dr. Sanjay Kumar Bhattacharyya
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 02, 2016 and last reviewed on: Jul 25, 2020

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.

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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.

Regarding follow up:

Revert back for further doubts to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist


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