WOMENS-HEALTH Messages for September, 2003: Re: Vaginal Bleeding with full bowel or post bm

Re: Vaginal Bleeding with full bowel or post bm

From: Asem Anwar Moussa MD (anonymous@obgyn.net)
Mon, 22 Sep 2003 01:19:49 -0500 (CDT)

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At Sun, 21 Sep 2003, nmmom wrote: >
>I am a 35 y/0 female with 3 boys, age 3, 5 and 7. I have had negative
>pap tests annualy except when pregnant since age 18. I have had 2
>sexual partners, one my husband of 14 years. My last normal pap was
>10/02. I was on Yasmin for 2 years and changed to orthocyclen this
>month. I have had spotting since 11/02 and was first told by my gyno.
>that I need to be careful about when I took Yasmin. In 3/03 and 6/03, I
>noted post coital spotting. About 4 weeks ago I noted spotting after
>bowel movements but not intercourse. I went to my gynocologist. He did
>an internal exam and felt that my cervix may be irritated. He said we
>should try to change birth control as a first step and perhaps consider
>a cervical freeze if this does not work. The bleeding got a little more
>steady during the end of my last Yasmin cycle. Then after 1 week on
>orthocyclen the bleeding returned in the a.m. when I awake with a full
>bowel. The spotting has been pretty much daily since then. It does not
>always occur with a b.m. I had a sonohysterogram last thurs. and asked
>for a pap at that time as well. The sonohyst. was negative. The
>doctor now plans to have me get off b.c. at the end of the month and
>see what happens. I asked him about cervical cancer and he feels it is
>VERY unlikelly and that I shouldn't worry about it. After reading this
>forum, I DO!! If that pap is negative, should I request a cervical
>biopsy or listen to my doctor. Thanks.

May be the second option would be very reassuring to you,discuss that with your gynecologist.

-- Dr Asem Anwar Moussa MD. prof.of Obstetrics&Gynecology. Alazhar School of Medicine. Director of http://www.mewomenhealth.net Cairo.Egypt

This is for teaching purposes only

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