OB GYN

Ob-Gyn questions? Ask a gynecologist online.

Ask a Doctor,
Get an Answer ASAP!

OB GYN

I am almost three years into menopause and have recently

Customer Question
Hello I am almost three years...
Hello
I am almost three years into menopause and have recently noticed an increase in discharge and tiny amount of spotting following exercise. I called the nurse in the doctor's office and she recommended I treat as a yeast infection. I am doing so and the discharge does seem to have diminished but, after working out this morning, I noticed another tiny spot of very pale, brownish blood on my underwear. It always seems to be on the left side of the underwear. I do not have any risk factors for endometrial cancer and had a normal pap smear only three months ago. Still, I am very anxious. Thank you for any feedback you might be able to offer.
Submitted: 2 years ago.Category: OB GYN
Show More
Show Less
Ask Your Own OB GYN Question
Answered in 10 minutes by:
7/16/2015
OB GYN Doctor: Dr. C., Board Certified replied 2 years ago
Dr. C.
Dr. C., Board Certified
Category: OB GYN
Satisfied Customers: 3,064
Experience: 30 years of experience and an award-winning educator.
Verified

Hi, It's Dr. C. Board-certified Ob-gyne.

I'm sorry that you're having this concern. Usually we wouldn't choose to treat this as a yeast infection over the phone. By far the most common reason for such bleeding is thinning of the tissue due to low estrogen levels. During exercise, the blood pressure goes up and that can be enough to cause some oozing of blood from blood vessels in the genital area. The lack of estrogen in menopause causes the overlying tissue to get thin.

I normally would have a woman get a pelvic ultrasound to measure the endometrial lining. If less than 4 mm, the risk of cancer or precancer is low enough to treat as if it is the low estrogen. If greater than 4mm, the risk of a precancer or cancer is about 10% and normally we'd do a biopsy to make sure.

If the lining is 4mm or less, we'd next treat with low dose topical estrogen.

The symptoms are very common in women who are in menopause or nearing menopause. It is usually quite easy to solve. Estrogen cream is cheaper but messier to use. Vagifem tablets are easier to use but more expensive. Women need to check with their insurance to see if they have coverage for both equally.If so, the Vagifem tablets are preferred. Although it's an estrogen product, there is virtually no absorption into the blood stream of estrogen. So even though the package insert (which is required for all estrogen products by the FDA) will say things about breast cancer, blood clots, etc., these warning do not apply to the Vagifem product. There is somewhat more absorption into the blood system with the cream. The only reason why women will definitely want the tablets is if a woman has a history of breast cancer, blood clots or heart attack. The proper usage is to use for the 2 products is as follows:

Estrace (estradiol) cream - use 1 gram nightly for 7nights, than use 1 gram twice weekly

Vagifem pellets - use one pellet nightly for 14 nights, than use twice weekly

Most women will notice an improvement within 2 weeks.

I hope this information has been reassuring and helpful. Please reply if I can clarify anything. I want to make sure you have the most helpful information for your situation.

Ask Your Own OB GYN Question
OB GYN Doctor: Dr. C., Board Certified replied 2 years ago
Any questions?
If none, please leave a rating for my service. I aim for excellent and appreciate your feedback. Thanks.
Ask Your Own OB GYN Question
Customer reply replied 2 years ago
Thank you for your response. By the way, I am 52 years old. I have made an appointment with the Dr. In the meantime, do you think the fact that the spitting us do minimal and occurs only sporadically is at all reassuring that it is not cancer/precancerous? The nurse I spoke with indicated that cancer would usually involve more bleeding. I am planning on following up in any case, but I am curious about this. Thank you again.
OB GYN Doctor: Dr. C., Board Certified replied 2 years ago

Yes usually bleeding due to the low estrogen causing thinning tissue is very slight and sporatic. But even so we tend to be very careful because early detection of uterine cancer makes a big difference in long term outcome.

Sometimes, I'll treat with the estrogen first without getting an ultrasound and only order the ultrasound if the bleeding doesn't go away completely with 3 months of estrogen treatment. That's reasonable as long as there aren't any increased risk factors for endometrial cancer. The most common risk factors are obesity, family history of uterine or colon cancer and diabetes.

Anything else?

Ask Your Own OB GYN Question
OB GYN Doctor: Dr. C., Board Certified replied 2 years ago
If no follow-up questions, please leave a rating for my service. I aim for excellent and appreciate your feedback. Thanks!
Ask Your Own OB GYN Question
Ask Dr. C. Your Own Question
Dr. C.
Dr. C.
Dr. C., Board Certified
Category: OB GYN
Satisfied Customers: 3,064
3,064 Satisfied Customers
Experience: 30 years of experience and an award-winning educator.

Dr. C. is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. C.

Dr. C.

Board Certified

3,064 satisfied customers

30 years of experience and an award-winning educator.

Monika Hearne, M.D.

Monika Hearne, M.D.

Board Certified OB/GYN

5,752 satisfied customers

With experience and compassion, I treat my patients like family.

Dr. Charles

Dr. Charles

OB/GYN (Doctor)

141 satisfied customers

Board Certified. Solo practice for 8 years; delivered more than 1300 infants and performed more than 800 surgeries.

Dr. K.

Dr. K.

MD

2,298 satisfied customers

Board certified OB/GYN with 20 years of experience.

DR PRABIR KUMAR DAS

DR PRABIR KUMAR DAS

CONSULTANT GYNAECOLOGIST

1,651 satisfied customers

MBBS(CAL)MD(G&O)

Dr.JBB

Dr.JBB

Board Certified OB/GYN

1,293 satisfied customers

15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence

Dr. Lawrence

Dr. Lawrence

OB/GYN

822 satisfied customers

Board Certified OB/GYN and accomplished educator

< Previous | Next >

Related OB GYN Questions
I just got the results back from my pelvic ultrasound and
I just got the results back from my pelvic ultrasound and was told I have a cyst on my left ovary, a fibroid on my uterus and have a lot of fluid. What could be the cause of fluid?… read more
Dr. K.
Dr. K.
MD
2,298 satisfied customers
I had sex a week after my period and I had blood clots
I had sex a week after my period and I had blood clots … read more
Dr. Juran
Dr. Juran
Physician, Partner
Doctoral Degree
179 satisfied customers
No period for 15 years been thru menopause. no sex for 6
no period for 15 years been thru menopause. no sex for 6 years and now bleeding and blot clots after sex? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,367 satisfied customers
After 2yrs of menopause ive started spotting today is there
after 2yrs of menopause ive started spotting today is there anything to worry about … read more
Medicaldoctor
Medicaldoctor
postgraduate resident,MD
Master\u0027s Degree
91 satisfied customers
Menopausal symptoms such as milk-let down sensation, hot
menopausal symptoms such as milk-let down sensation, hot flashes. Curious however...I have had a period for the last 21 days, breast cysts, golf plus size, extremely tender. No breast discharge... is … read more
Dr. Juran
Dr. Juran
Physician, Partner
Doctoral Degree
179 satisfied customers
It has been a year that my period stopped due to menopause
it has been a year that my period stopped due to menopause but now out of not where I could see light red color when going to the bathroom … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,367 satisfied customers
I am 64 years old and just noticed a pink spotting after I
Hi..I am 64 years old and just noticed a pink spotting after I wiped. I had this last year and had an ultrasound and biopsy done. Then I had a d&c done ...should I be worried. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,367 satisfied customers
Trying to see if estrogen stop your period trying not to get
Trying to see if estrogen stop your period trying not to get one this month … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,035 satisfied customers
Have been having issues related to menopause (burning,
Have been having issues related to menopause (burning, swelling, irritation), now experiencing bleeding in the vestibule, in a crevice between the urethra and vaginal opening...actually where my episi… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
742 satisfied customers
Had post menopausal D&C 5 weeks ago. Still bleeding ( light
Had post menopausal D&C 5 weeks ago. Still bleeding ( light color) and cramping. Stopped for a week and restarted. Should I worry? … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
729 satisfied customers
Can this liquid estrogen same as a1.25mg estrogen pill, I am
can this liquid estrogen same as a1.25mg estrogen pill … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
729 satisfied customers
I've been in what I'm pretty sure is menopause for a little
Hi I've been in what I'm pretty sure is menopause for a little over a year with no period with all the side effects including hot flashes very little sleep but almost 3 full weeks now I have had a ver… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,804 satisfied customers
I went to the drs Wednesday to find out I had a blood clot
I went to the drs Wednesday to find out I had a blood clot behind my cervix in the sac with the baby . I was bleeding bad Monday n Tuesday now it's barely n it's brown. I have a uti also but my questi… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,035 satisfied customers
Shadow in pelvic ultrasound not explained in reported
Shadow in pelvic ultrasound not explained in reported findings. No answer from the pathologist. Please can anyone explain what the shaded appearance is to the right of my bladder in the image?… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,658 satisfied customers
Went to ER 7/13 for blood/clots in urine blood test done and
Went to ER 7/13 for blood/clots in urine blood test done and given antibiotics (I had no pain or symptoms like a uti) but was told to follow up with urologist. Saw urologist 7/24 for 2 mins all he did… read more
Dr. Chip
Dr. Chip
M.D.
12,929 satisfied customers
Had a pelvic ultrasound performed. Images on a CD show
Had a pelvic ultrasound performed. Images on a CD show findings I can not understand of my pelvis. I took the test with a full bladder… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,035 satisfied customers
Age 61 post menopausal just had pink spotting after a sharp
Age 61 post menopausal just had pink spotting after a sharp abdominal pain. Should I follow up or is this a random occurrance … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,367 satisfied customers
As ur advice I had a pelvic ultrasound but it's normal. They
Hi as ur advice I had a pelvic ultrasound but it's normal. They said they didn't see any cause that why I am feeling sharp pain in the left side of my uterus. What u do now. Any suggestions pls.… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,367 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x