Post-menopausal-bleeding

my mother having post-menopausal-bleeding since six months ago detail reports are attached ca 125 and paps smear test are normal but bleeding still continue.dr given postan fort,cepspam and transamin for 10 days please advice what to do?

dr-rabia-wajid-gynecologist-lahore

MBBS, FCPS | Lahore

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Please send me the exact reports of her EUA , DnC and Histopathology report.
The definitive management at this age is usually removal of uterus. But let's have a look at the abovementioned reports

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JAZA KALLAH DR for your quick response.
dnc detail already attached if you give me your email id so i can share all reports.
once again thanks for your kind co-operation.

1 year ago

dr-sohail-ahmad-maternal-fetal-medicine-specialist-lahore

Post menopausal bleeding for 6 months and 2.2 thick endometrium (though trans Vaginal scan was required)
Immediately Endometrial biosy is required first
Then Total Abdominal Hystrectom with BSO should be done

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paps smear is already done by dr i think now dr should decide for removal of uterus.

1 year ago

Dr. Sohail Ahmad

She needs Endometrial biopsy
Pap smear is different

1 year ago

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tomorrow i have take appointment of Dr.Shaheena Ishtiaq practising at Dr.Ziauddin Hospital Karachi.let's see what does she suggests.
if she suggest surgery for removal of uterus without biopsy will it be better?

1 year ago

Dr. Sohail Ahmad

Surgery should be after biopsy this standard management

1 year ago

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ok sir.JAZA KALLAH

1 year ago

Dr. Sohail Ahmad

Endometrial biosy can be taken in office without anesthesia by Pipelle

1 year ago

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OK i will discuss with dr shaheena.

1 year ago

dr-shaheena-asif-gynecologist-lahore

MBBS,FCPS | Lahore

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She needs an endometrial biopsy by d n c under Anesthsia

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ok. dr already done dnc but said no need of biopsy.

1 year ago