I need real medical advice?

Question

I am 39 and went to the doctor for a PAP and std testing on 7/14/06 and every since then I have been bleeding bright red every time I wipe. My test results came bsack clean and negitive so why am I still bleeding. mother and sister did not go threw menapause until their late 40 s to early 50 s. WHAT could be the cause?? I do not have the money to go to a new doctor.

Answer 1

When bleeding is not caused by your menstrual cycle, it is called abnormal or dysfunctional uterine bleeding. This is the most common cause of abnormal vaginal bleeding during a woman’s childbearing years. Up to 10% of women may experience excessive bleeding at one time or another. African American women tend to have more episodes.
When the complex hormonal process that creates your menstrual period loses coordination and the hormones estrogen and progesterone are out of balance, your body overproduces uterine blood flow. Thus, you may experience excessive vaginal bleeding. This bleeding is related to irregularities of your menstrual cycle without any evidence of disease.
The diagnosis of dysfunctional uterine bleeding is a diagnosis of exclusion, which means that all other causes for the bleeding (including trauma, lesions, or diseases) have been looked for and determined not to be the cause of the bleeding.
Depending on your age, there are different reasons for you to have dysfunctional uterine bleeding.

Certain diseases of the female genital tract may cause bleeding.

You may have experienced trauma that can cause bleeding.
Dysfunctional uterine bleeding is usually associated with an anovulatory cycle. Anovulation occurs when you have a menstrual cycle but do not produce an egg from one of your ovaries.


In some cases, dysfunctional uterine bleeding can occur with ovulation or the release of an egg from an ovary.


When you do not produce an egg, there is still stimulation of your uterus from the hormone estrogen. Progesterone, a very important hormone produced by a growing egg, is absent. Therefore, the uterus becomes unusually thick and enlarged until it reaches an abnormal size.


Irregular shedding of the uterine lining and heavy bleeding occurs. You then experience heavy, irregular vaginal bleeding (usually painless).


The most common cause of dysfunctional uterine bleeding if you are an adolescent is anovulation.


In the first 2 years of having your menstrual cycle, 85% of your menstrual cycles can occur without the release of an egg. Your hormones are getting adjusted.


As you get older, the percentage of cycles that are anovulatory decreases, and you are more likely to experience normal periods.


By the time you have had your menstrual cycle for 6 years, fewer than 20% of cycles will occur without an egg being released from one of your ovaries.
In women of childbearing age (18-40 years), the most common cause of abnormal uterine bleeding is pregnancy and its complications such as ectopic pregnancies or miscarriages. Anovulation can be a cause of bleeding in women of childbearing age. However, anovulation occurs in fewer than 20% of women in this category, so all other causes, including pelvic inflammatory disease and fibroids, must be ruled out.
Older women who are approaching menopause may also experience dysfunctional bleeding. If you have ovulation without the release of an egg, this occurs because you have fewer eggs available for release. Also, your ovaries are losing their ability to bring an egg to maturity.


Diseases of the female reproductive organs may cause bleeding.


You may have a harmless (not cancer) sore (polyp or lesion) on your genitals that can cause bleeding.


Cancer of the vagina, cervix, uterus, and ovaries is possible. Your health care provider will consider ovarian cysts, cervicitis, endometritis, fibroids, vaginal infections, and other conditions that can cause excessive bleeding.


Vaginal bleeding may be a concern for women older than age 50 years (or after menopause). The risk of cancer increases with age. Also, your vaginal walls may be dry from lack of estrogen, which may cause bleeding during or after sexual intercourse.
Certain drugs may cause bleeding, especially if you take a drug that prevents your blood from clotting (anticoagulant).
You may have experienced trauma that can cause bleeding. An IUD may cause bleeding (slight bleeding is usually normal; pay attention to heavier bleeding). Injury from sexual intercourse may happen.

See your health care provider for any abnormal vaginal bleeding. It is not always necessary to go to a hospital emergency department for this problem. An office visit to a gynecologist (a doctor who specializes in female reproductive organs) is usually sufficient if you are bleeding but do not have any other symptoms.

If you are having abnormal vaginal bleeding with other symptoms, such as lightheadedness, severe abdominal pain, or fevers, you should be evaluated as soon as possible. This includes being seen in an emergency department if your regular doctor is unavailable to see you. An ambulance should be called if you pass out from blood loss.

Answer 2

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Answer 3

This is somethng you really need to call your doctor about, there can be so many different reasons behind it, even stress. There is a blood test that your doctor can send you to a lab to take, that well tell you what your hormones are like and if it is pre-menopause, some doctors offices, depending on your doctor, will talk to you over the phone and mail you the form to take to the lab for your test and not charge you for speaking to you over the phone.

Answer 4

I usually spot after my PAP's. One time I went the same week my period was due and after the PAP I got my period (even though I was not due just yet). Doc said it does happen. But I do suggest to call the Doc that did your PAP.

Answer 5

Call the doctor that gave you the pap smear...ask whats going on. They may have scraped you to hard and that is why you are bleeding? If it is their fault you should be able to recieve free appts and care.

Answer 6

At the very least, contact the doctor who performed the procedure and let him/her know of the situation. It could be something very normal, but if it's not then you won't be risking serious injury (bleeding to death IS possible) over paying for another doctor visit. Please, make that phone call!

Answer 7

Maybe during your pap test they cut a small section inside you and you're still bleeding from it. It would be good advice for you to phone your gyn and just ask him/her.

Answer 8

its normal to have some bleeding after a PAP test

Answer 9

it sounds like the pap made you start your period and women are starting menopause earlier and earlier i started to go thru it at 32 hot flashes night sweats irratability funny periods you may want to talk to your dr about this

Answer 10

Call the doctor and explain what you are experiencing.