Q. My partner bled heavily after 3 years of menopause. What to do?

Answered by Dr. Geeta Priyadarsini Kamminana and medically reviewed by iCliniq medical review team.

 

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Hi doctor,

This is on behalf of my partner. She is 51 and has been through the menopause. She has not had a period in 3 years. Last week, she bled quite heavy for a few days. A duty doctor told her to get a blood test done. She had the blood test done today. My partner did not tell the family history of cervical cancer in her mother to the duty doctor on the phone or to the person taking her bloods today. My question is, is the blood testing enough to rule out anything serious? Or should she see a doctor for an internal examination?


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Dr. Geeta Priyadarsini Kamminana
MBBS., MD GENERAL MEDICINE., PGD EMERGENCY MEDICINE
General Medicine, Internal Medicine

Hello,

Welcome to icliniq.com.

Postmenopausal bleeding is the vaginal bleeding, which occurs 1 year after attaining menopause.

It should be evaluated, particularly in whom with a family history of carcinoma. PMP bleeding patients are at high risk of endometrial cancer.

The causes of PMP bleeding include vaginal atrophy (the most common), hormonal replacement therapy for menopause Like Tamoxifen, endometritis or endometrial infection, endometrial hyperplasia, endometrial carcinoma, cervical polyps, cervical carcinoma and any other gynecological carcinoma.

Better to go for TVUS (transvaginal ultrasound scan), Pap smear and then endometrial biopsy based on the wall thickness.

For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

 
 
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Answer: Hi, Welcome to icliniq.com. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often consider...  Read Full »
 
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Answer: Hi, Welcome to icliniq.com. Near or after menopause heavy bleeding needs investigations. The average age of menopause is 51 years in your country. It would be better if you send me her complete gynecological, obstetrics, medical, and drug history. It should be investigated either she had complete ...  Read Full »
 
 

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