What is the differential diagnosis (DDX) for post-menopausal spotting with no pain, vaginal atrophy, and being 10 years post menopause? Additionally, how should the evaluation be approached to differentiate between vaginal atrophy, endometrial atrophy, and potential endometrial hyperplasia or cancer?

November 1st, 2024

I had unprotected sex during my ovulation and experienced spotting. I plan to use emergency contraception but am concerned about its effectiveness and potential side effects. Should I use an IUD instead, and what should I do about the spotting?

January 24th, 2023

I have been experiencing recurrent BV infections since having my children and have been treating them unsuccessfully with metronidazole and other methods. I still have external itching and mild spotting, and my vaginal pH is 5.0. I have been taking probiotics and using boric acid suppositories. What could be causing my persistent symptoms, and what long-term treatment plan would you recommend?

January 9th, 2024

I have a perineal tear from rough intercourse, causing a significant stretch from my vaginal opening to my rectum. The area is swollen, cracked, and painful, especially when walking, sitting, or using the bathroom. I've been given antibiotics and vaginal ovules, but the pain persists. Can the tear be stitched back to its normal size, and what can I do to alleviate the pain and swelling?

November 20th, 2024

I’ve been experiencing pregnancy symptoms such as tingling and sore boobs, headaches, cramps, a sour taste, dark nipples, and colostrum production from both breasts, despite stopping nursing two years ago. My period is due in a couple of days, but a pregnancy test was negative. Is it normal to produce colostrum before a missed period, and are early pregnancy tests reliable?

August 24th, 2024