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POSTMENOPAUSAL BLEEDING with mucus from vagina. Cause?

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I have postmenopausal bleeding and by using cotton swabs it seems to be coming from the upper part of my vagina. Two doctors have looked for me and said it's not coming from my cervix. It is blood tinged mucus. I'm sure it's coming from my cervix. What's going on?

Category: OBGYN

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Category: Infertility Specialist
 31 Doctors Online

Thank you for your query at
I understand your concern
See you cannot differentiate if it is coming from your cervix or your uterus, because blood from the uterine cavity also exits through the cervical canal, and ultimately, the vagina.
But if you are having spotting, then it surely warrants investigation, especially after menopause.
Causes vary.
Common ones are - atrophic vaginitis ( dryness and friability of the local tissues due to estrogen deficiency ), cervical lesions ( abnormal cells, polyps ) , fibroids, thickening of the lining of the uterus, and lastly - cancers of the uterus / cervix.
You should be seeing a Specialist Ob- Gyn, and having the following workup -
1. internal per vaginum and per speculum exam
2. Pelvic ultrasound scan done transvaginally.
3. Pap smear.
This would reveal a diagnosis.
All the best
Please feel free to discuss further.

Dr. Aarti Vazirani
Category: Infertility Specialist
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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