Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
Can I ask your first name?
Good Evening, Dorothy
Nice to meet you
where did the blood come? spotting in the underwear?
yes, twice now
yes I remember!
Where did you see the blood?
on my underwear
any signs of infection?
no, I have had about 4 urine infections in the last year and know the symptoms well!!!
did they take your whole uterus and ovaries?
be back in 2 minutes
not the ovaries, but the uterus
last pelvic exam and pap?
gosh, 20 years ago probably beyond my memory
are you sexually active?
my partner has erectile dysfunction and uses his handswhen we make love
was it after that?
last activity was last Sunday, and this happened on Thursday and today
after menopause you can get vaginal dryness
sometimes after irritation like in sex, this can cause bleeding.
that doesn't seem to be an issue
However, any postmenopausal bleeding
needs an exam by your doctor
you might still have a cervix and there could be issues there
could it be the first sign of cancer
I am being very honest
thank you for that
would it be in the early stages
I can tell you that the vast majority of these are benign
but cancer is a consideration
Yes, it would be
early that is
it is a bank holiday in the UK, can it wait a couple of days before I see the doctor
thank you doctor, I appreciate your answers, what else might it be
It could be a UTI that you can't feel
that can happen
or it could just be irritation
or a vaginal infection like vaginitis
ok, that's given me lots of choice!!!!
any more questions for me dorothy?
thank you, XXXXX XXXXX been kind and honest.
you're welcome :)
no thank you, XXXXX XXXXX again
would you mind rating me before leaving?
Also, don't forget to ask for me in the future
of course, and I will