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A 60-year-old woman, menopausal for 8 years, started bleeding again and found a rounded mass in the uterus. She has had loose motions and lower back pain for two days. What should we do?
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A 60-year-old woman, menopausal for 8 years, started bleeding again and found a rounded mass in the uterus. She has had loose motions and lower back pain for two days. What should we do?
Asked by Female, 60 · 2 months ago
Postmenopausal bleeding with a uterine mass needs urgent evaluation as it could indicate fibroids, polyps, or even cancer. She should see a gynecologist immediately for an ultrasound, biopsy, and further tests to determine the cause and start appropriate treatment.
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Immediate Medical Evaluation
- Urgently consult a gynecologist for postmenopausal bleeding and uterine mass.
- A thorough clinical examination and history are essential.
Diagnostic Investigations
- Perform a pelvic ultrasound to assess the uterine mass.
- Consider an endometrial biopsy or hysteroscopy to exclude malignancy.
- Conduct blood tests, including a complete blood count.
Symptom Management and Monitoring
- Manage loose motions and lower back pain with hydration and pain relief.
- Monitor for signs of infection or worsening symptoms.
Possible Treatment Options
- Treatment may range from medical management to surgical intervention based on diagnosis.
- Oncology referral is necessary if malignancy is detected.
Follow-up and Support
- Ensure close follow-up to monitor treatment response.
- Provide emotional support and counseling due to the patient's age and symptoms.
Answered 2 months ago