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    Postmenopausal Issue
    terry120953 posted:
    Hello, I am new here with a few questions. I just turned 60, and ended my periods in Oct. 2009. I have always been in good health. In October last year, I went thru a VERY stressful week. On Thurs. of that week I wiped and noticed very light pink on the toilet paper. The next morning I strained to have a BM, which has been common for me most of my life, and again blood that was a little more and red. I went to the dr. the next morning and she did a pelvic and rectal. Rectal was fine, physical last July pap was fine, but she did see a small amount of blood near the cervix but was not sure where it was coming from. Ovaries, uterus felt fine, vagina was a little atrophied. She gave me the option of having a transvaginal ultrasound since I didn't have any insurance. I still don't, but saved money to go this Saturday. After that Friday morning, the bleeding was just intermittent spotting that lasted 1 week. There has been nothing since. Over the past week or so, I am having very mild intermittent pelvic pain, a couple times, a little pain in right ovary. No bleeding, no discharge. I did gain 40 lbs since Nov. 2011 following my father's death, I ate to relieve the sadness. Not sure if the added weight had anything to do with this, or the straining with occasional BM's. Should I be worried about the big C? I already deal with anxiety, (most of my life) and depression. Any thoughts would be appreciated. Thank you.
    Mary Jane Minkin, MD responded:
    Dear terry120953,
    I would go ahead and have the ultrasound, which is a very reasonable starter of an evaluation for post menopausal bleeding. Although the odds are definitely in your favor (that everything will turn out to be OK), it is still prudent to rule out any precancerous or cancerous changes. If something were abnormal, in gynecology, if we see something abnormal in a uterus, in general, taking out the uterus tends to cure people-we find things out early.
    Sorry to hear about your father's death; but one thing I would try to do as best as possible would be to lose those 40 extra pounds. Unfortunately, added weight increases the risk of cancer of the lining of the uterus; the best way to help prevent it is to stay as close to ideal body weight as possible.
    Good luck,
    Mary Jane
    terry120953 replied to Mary Jane Minkin, MD's response:
    Thank you Jane. I am scheduled for one this Friday. I appreciate you answer my question. I will let you know the outcome.

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