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  • Bleeding/Abnormal pap post-Menopause

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    Old 03-25-2004, 09:18 AM   #1
    jeopardymom
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    Bleeding/Abnormal pap post-Menopause

    Your input please?

    I'm 48. Four years ago I had my last period. Last week I went for my first pap (I know, I'm kicking myself) in four yrs. Two days later I began bleeding heavily, (8 days of this and I'm still spotting) but attributed it to the exam until my doc called to say my pap was abnormal.

    I am scheduled for a pelvic ultrasound on Tuesday, but the GYN I was referrred to can't see me until June. My questions:

    (1) Can the ultrasound actually detect cancer? (if it is that - my brother had testicular cancer at age 22).
    (2) Can a person suffer from dysplasia (sp) after menopause?

    My particular concern is that I have 5 of the 8 indicators for a person most likely to develop cervical cancer i.e., smoking, use of BCP, sex before 18, multiple sex partners (though I've been monagomous now for 25 yrs), and lastly, I contracted genital warts at age 17 from my first husband, though they were burned away and I've never had a recurrence, even through 3 successful pregnancies.

    Any help or suggestions are welcome, and thank you.

     
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    Old 03-25-2004, 10:30 AM   #2
    PaNik5717
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    Re: Bleeding/Abnormal pap post-Menopause

    Hi, I can tell you a little, but I can't answer all of your questions. It would seem that the bleeding might be something else and that is why you need the ultrasound. I would also think that the new doc would fit you in sooner if anything were to show up on the ultrasound.

    Do you know what level of abnormal pap you had? That would help a lot. If it was ASCUS or CIN I, it would be totally fine to wait until June for follow-up. Not to worry. If you didn't find out, call back and ask. Abnormal paps can be caused by a lot of things and you might not even have dysplasia.

    As for dysplasia and menopause, the two don't seem all that related. Although, maybe being in menopause could cause a slower immune response to help your cervix fight the dysplasia. One of the biggest contributing factors when it comes to dyplasia is HPV. Most likely, this would be a different strain of HPV than the one that caused your warts. There is one known strain that causes both, but it is more likely to have more than one strain. And, you can get it when you are 17 and then have trouble ten or twenty years later. It's a little annoying like that. Your body can keep it under control and then one day it will just show up.

    Regardless, this is highly treatable. The bleeding after menopause does sound a little scary, but you are getting the ultrasound. If you do keep bleeding, keep calling the nurses at your new doc's office. If that doesn't get the response you want, call your original doc. If nothing else, you can get some reassurance about waiting until June.
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    Old 03-25-2004, 10:33 AM   #3
    PaNik5717
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    Re: Bleeding/Abnormal pap post-Menopause

    Oh, and the waiting really is the hardest part. There are some things you can do whie you wait. You can do your best to cut back on smoking. That is one of the big things you can do for your cervix. You can also add a multivitamin if you don't already take one. And, start making an extra effort to relax your mind and your body in any way you can.

     
    Old 03-25-2004, 11:47 AM   #4
    csoar2004
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    Re: Bleeding/Abnormal pap post-Menopause

    Quote:
    Originally Posted by jeopardymom
    Your input please? I am scheduled for a pelvic ultrasound on Tuesday, but the GYN I was referrred to can't see me until June.
    Call your provider back and ask if it is ok to wait until June to be seen (if your doc wants you seen by the specialist sooner, they can make it happen). While you're on the phone, ask what the purpose of the ultrasound is. Get your questions answered by the folks with the information. (I'm a fan of getting things straight from the horse's mouth, so to speak )

     
    Old 03-25-2004, 01:11 PM   #5
    Josie115
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    Re: Bleeding/Abnormal pap post-Menopause

    Abnormal post menopausal bleeding can be the number one indicator for uterine cancer. I'm not saying that is what you have, but the uterine ultrasound will indicate any thickening in the endometrial lining. If you have a thickness of more than 4mm (normal for post-men) it would be a cause to look further which would be a uterine biopsy.

    Yes, dysplasia and all the other abnormal cell arrangements can happen anytime. With the pap results, you could be seeing cervical dysplasia or, uterine/endo cells that could be changing. I'd suggest if you haven't already done it to get a referral to someone who can do it sooner and I'd push for a gyn/onc. They know what they are doing.

     
    Old 03-25-2004, 06:22 PM   #6
    jeopardymom
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    Re: Bleeding/Abnormal pap post-Menopause

    Thanks so much to all of you who posted. Now I know what specifically the ultrasound is looking for, to determine the thickness of my endometrium. That helps. And I will push for a quicker appt or a different doctor if the ultrasound is - unsettling. Thanks again.

     
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