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Post menopausal bleeding after 2 years
My mother got post menopausal bleeding about 3 months ago.Bleeding stopped after 5 days and it did not appear again till now.We went to gynaecologist and doctor took ultrasound,pap smear and cervical biopsy.Ultrasound reports showed bulky uterus with multiple fibroids.No INTRAEPITHELIAL lesion / malignancy in papsmear.Endometrial tissue is atrophic and tissue could not be obtained for endometrial biopsy. Cervical biopsy showed LSIL.Reports are attached.Can you please look at reports and suggest if hysterectomy is necessary and urgent?if necessary can we schedule after six months?Please explain any other options if we have.Many Thanks
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Pls comnect me on practo for advice,my name is dr lavina batra
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You didn't specify her age, nor did you mention how many years ago she had her last period (before this bleeding episode).
She has fibroids and Uterus is about 4 times the normal size. Cervical biopsy is plus minus report. You didn't share pap smear report.
Hysterectomy is the best alternative because otherwise she will have to undergo so many tests every 6 months.
Over all, conservative treatment will be more cumbersome and expensive. It will also involve lot of tension for the patient, their family and for the doctor.
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So you should get ROMA done and if favourable report, go ahead for hysterectomy.
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Dr. Vijaya Gupta
Gynecologist
20 yrs exp
Chandigarh
Date of biopsy?
Age of patient?
Surgery shud be planned asap
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.