WOMENS-HEALTH Messages for January, 2001: Re: Pain, Bleeding

Re: Pain, Bleeding

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 31 Jan 2001 23:23:59 -0600 (CST)

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At Wed, 31 Jan 2001, Mari wrote: >
>Shortly before this last period, I had spotty bleeding and a constant
>pain (not normal cramps) in my very lower right abdominal area. Then
>when I urinate, it hurts somewhere between where the abdominal pain is
>and where the urine comes out of my body (like on an internal wall on
>the urine's way down), but the urine itself does not BURN at all. It
>hurts the most when I first start to urinate and when I am squeezing the
>last bit out. I don't think I am urinating more frequently than usual,
>but the urgency is definitely there, whereas I normally can hold it for
>very long periods of time if I need to. I would think I had a urinary
>tract infection, but the bleeding is from my VAGINAL area; I see no
>blood in my urine. I can tell it is from my vagina because it gets all
>over a tampon, and I scrutinize my urine closely after going to the
>bathroom. A home urinary infection test was negative, and I have no
>fever. I had what appeared to be a normal period, which subsided in
>about 5 days, went down to about a trace and then seemed to get heavy
>again, but most of the blood seemed to be landing on the right side of
>the sanitary napkin after the bleeding resumed. Yet as I said, when I
>have to "pee," I have to do it imminently, which is particularly weird
>for me. I am in my mid-forties and have regular periods. I have not
>been to a gynecologist for about 5 years. I know I SHOULD go to one
>(not intellectually stupid, have MS degree with 4.0 average), but I
>didn't for years because I had no kids, and about 8 years or so I
>started going to one, but she was so harsh that I just stopped going and
>never got a new doctor since I always dreaded going so much. (I have
>bad doctor/medical phobias anyway, and she just made them much worse. I
>am very squeamish about this kind of stuff. Every time I go to even a
>reg. doctor when I don't know what is wrong with me, it feels like my
>blood vessels are going to pop right out of my skin. I can't even watch
>a show like ER without going absolutely fetal, so I need some idea what
>could be the problem this time before I could ever think about going to
>a doctor about it. I am on anxiety medication as it is.) I am worried
>sick about this. Please help.

First of all, I am a very fair and understanding individual, but I must say that I think it quite unfair for you to write to this forum expecting an answer to a rather complex history when you have not had an exam in over five years. That said, you need an exam. Anybody over the age of forty with bleeding outside of their normal menses requires an endometrial biopsy-you describe spotting prior to the onset of your last period. Second, with the urinary symptoms, you need a complete evaluation including an exam and a laboratory urinalysis. The store bought detector isn't worth a damn... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Mari: "Pain, Bleeding"

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