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Dr.M.D.Mazumdar, Doctor
Category: OB GYN
Satisfied Customers: 9032
Experience:  MD (Obst&Gynecology)
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I am 42 yrs old and had my annual on thursday with a

Customer Question

I am 42 yrs old and had my annual on thursday with a bimanual exam. When I got home I had some bleeding- it was dark red/old blood. It was still present today but less in amount. But now it seems to be more bright red. I am not close to my cycle. I also have a little lower abdominal cramping. Is all of this normal and expected to resolve? I have never had this happen before after a bimanual and have been going to the same doctor for 15 years.
Submitted: 1 year ago.
Category: OB GYN
Expert:  Dr.M.D.Mazumdar replied 1 year ago.


If you had a pap smear at the time of the bimanual, then some amount of bleeding can occur - this is due to scraping of the pap brush across the cervix. But bleeding, if it does occur, is usually very minimal.

If the bleeding has continued and it is bright red now, chances are that you have an infection on the cervix. A small polyp ( a benign tumor) on the edge of the cervix would also cause similar bleeding. A cervical erosion can also sometimes cause this type of bleeding. Both cervical erosion and cervical polyps would have been picked up if you had a visual inspection of the cervix with a speculum at the time of the bimanual. If you had a simple bimanual xamination with only the hands, then these could have been missed.

Please consult your doctor again - you need to be seen and if necessary, an ultrasound of the uterus may be advised.