Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am 47 years old have 5 children and always had normal regular periods. This month after approx 10 days after my period  finished I started bleeding again. This was sudden and is flooding bright red blood. It has lasted 6 days so far. I have had abnormal cervical smear results about 2 years ago and had the relevant treatment . I have regular smear tests since with negative results. I am worried about cancer. I hSve no pain with it.Thank you Caroline sproule
[|AI|]  Hi and thanks for the query, Bleeding outside your periods deserve a careful evaluation. Considering the fact you have had an abnormal smear before, this becomes very compelling. However, the commonest symptom instead in cervical cancer is usually bleeding after sexual intercourse, however, this is not seen in all cases. It would first be important to know if you are on any birth control method or not. If not, you might need to do a pregnancy test to exclude a miscarriage. As females approach menopause however, it is not unusual to experience some abnormalities in bleeding patterns.It's of utmost importance to consult your gynecologist to get first an abdominal and pelvic ultrasound to ascertain the integrity of the ovaries and the texture of the uterus. Common causes of bleeding such as fibroid must also be excluded. An examination called a hysteroscopy might be needed at some point in time to visualize the uterus and see if there exists any abnormal growths inside. Booking an appointment with your gynecologist is my advice as I wish you the best of health. Best regards, Luchuo, MD.