I am desperate for reassurance, because over the last few weeks I have got myself in a right state. In 2021 I had some slight post menopausal bleeding. I had a transvaginal ultrasound and hysteroscopy, and was told all was fine. A couple of months ago, I started having a pinkish discharge, and a more red discharge when I wiped after passing urine. Again I was referred under the two week rule. I had another ultrasound, and a hysteroscopy (under a G/A). When I woke up, I was told they couldn’t get a biopsy. The specialist said if I have any more bleeding, they might consider a hysterectomy. I really didn’t think much of this at the time. I had put the bleeding down to that fact my Husband and I had had sex recently, and I know this can sometimes happen to older ladies due to changes in the vagina. A couple of weeks after my hysteroscopy, the pinky discharge started again. This time, we hadn’t had sex, so I knew it wasn’t that. I have been re referred under the two week rule, and I am now terrified. I am having period like pains a lot, plus sharper pains in my groin. This morning I passed some tiny clots, although the bleeding has now stopped again. My appointment is on Monday. What will happen? Surely they won’t want to do another hysteroscopy after such a short time? My main issue in all of this is a terrible fear of any examination or procedure down below. Some of the things I have read on here (for example catheterisation or brachytherapy) make me nearly pass out just reading about them. I know I sound pathetic, but it’s just the way I am. Please can anyone offer some reassurance? Is this bleeding almost certainly cancer?
Hello Bonnieblue
Welcome to the Womb group.
I am sorry to hear that you have had some bleeding and I understand it is a scary thing to happen. You have done the right thing each time in getting checked.
With the symptoms of bleeding then it is normal to be referred under the 2 week referral. The urgent referral is done where there are symptoms, that in some ladies, could lead to a diagnosis of cancer- they always try to rule out the most serious potential causes of any symptoms first. So the testing is hopefully to rule out cancer.
What would normally happen where there is bleeding is an ultrasound and then if anything is seen a possible biopsy/hysteroscopy. However because they were unable to do this last time under GA and because they have already said to you that they would consider a hysterectomy for any episodes of further bleeding, I would think this is what will be suggested.
So I would be prepared to possibly have an ultrasound and examination but I would be surprised if a further hysteroscopy would be suggested. If they tried before and were unsuccessful then it would seem unlikely in the short space of time that they would be able to do it. An alternative maybe could be an MRI/CT
I understand anxiety around any medical procedures but it is important to find out what is causing this bleeding. There are some other potential causes of bleeding eg polyps, hyperplasia (thickened endometrial lining), atrophy, HRT, fibroids. So not all bleeding means cancer but it needs to be ruled out.
I think try to break it down at the moment and try not to think too far ahead. At the moment you have some bleeding and some pain - this needs checking. On Monday you will have a much clearer idea of what is happening and what will happen next (if anything needs to happen) So focus just on Monday's appointment first. Have you got someone who can go with you to support you?
If talking things through would help, perhaps give the Support Line a call. They are lovely on there. They are available from 8am-8pm daily.
Good Luck for Monday, in the meantime we are here if you need us.
Jane
