Ask Endochick: Unexplained Bleeding

Melissa writes: I had my uterus removed 4 years ago do to endo. Now I will be having my ovaries removed do to endo cysts. I am having issues of bleeding ( fresh and old blood) along with milky discharge. I also feel sick when this happens along with sharp pains. I am also losing more hair than normal for me and running low grade temps off and on. Please tell me is this all do to the endo or could there be something else going on?

Melissa, thanks for your question. To begin with, as I’m not your doctor, I cannot diagnose you. Nor can I treat you. I can offer you some information that you — and other women in this situation — can use.

Seeing as you’ve had your uterus removed via a hysterectomy, any vaginal bleeding should raise a red flag. This could be from endometrial — i.e. chocolate cysts — rupturing and releasing their contents. Or from a more insidious nature such as ovarian or cancer.

The milky discharge you mention could be from a candida – or yeast – infection. Of course, there is always a chance that a milky discharge coupled with blood signals cervical cancer . But it’s important not to jump to conclusions.  

If a symptom is occurring enough to alarm you, I urge you to ask your physician about it.

You mention you’re having the ovaries removed because of cysts. Are you current on pap smears? Make sure you’re current on STD testing and cancer screenings, as well. Cover all your bases.

You mention you’re having problems with hair falling out. This could be due to a hormonal or nutritional disorder. It could not hurt to ask your physician to run thyroid panels (looking for hypo and hyper active thyroid disorders) and a panel to test your sex hormones (estrogen, testosterone, etc.) When your thyroid and/or hormones are out of balance, your whole system will be off kilter.

Whether all of this is related to your endo, who knows! Sorry :( As I said, I’m not your doctor. I don’t have access to your test results. But I can say that a lot of women  with endometriosis – myself included –have an umbrella of chronic illnesses with our endometriosis diagnosis. So it could very well be endo related and all clear up with the removal of your ovaries. Or not.

If it were me, though, I would have my doctor run hormonal panelsthyroid function tests,   check for a yeast infection and screen for cervical cancer

You may this is overkill, but the last thing you want to do is be nonchalant with you health. Consider it this way….

  • Do the hormone panels now and you’ll have a base line for when you’re in surgical menopause.
  • If you’re losing hair, checking thyroid levels is an inexpensive and easy test. If your numbers are within norms, then perhaps it’s just time to reach for the hair replacement shampoo. But at least you know. If not, you’re avoiding complications like thyroid storm and heart trouble.
  • Yeast infections are no fun… enough said. If you have one, get it treated.
  • Screening for cervical cancer is so important! I cannot stress this enough! My own aunt is undergoing chemotherapy for cervical cancer right NOW! She skipped her regular paps for YEARS! Her cancer is Stage III, was inoperable and thankfully the tumor is shrunk enough to operate. If you have ANY unexplained vaginal bleeding or discharge — especially since you have no uterus — take precautions and get a pap smear. After all, it’s your life!

Melissa, I hope I’ve helped. Remember, I’m not a doctor. I’m just a fellow endo patient helping another. Good luck.

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4 responses to “Ask Endochick: Unexplained Bleeding

  1. abnormal loss of hair can be caused by policystic ovary syndrome (PCOS)

  2. Thanks for the feed back. I have been tested for a yeast infection and a bacterial infection. Both came back negative. I have also had a thyroid test done and that aslo came back normal. However I have not had any testing done as far as hormonal. So I will try that next. Also what is that test again to screen for cancer? Is it a CA125? I want to thank you all again for the suggestions. It really helps me so I know what to ask for when I go to the dr.

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