I am ten years post-menopausal. A few weeks ago, I noted pinkish spotting on the toilet paper. I am generally careful to watch for such events whether vaginal, rectal or from the urethra. This happened one time only that I noticed either prior or after, and I believe I would have noticed. I had my regular annual exam coming up so I discussed with my gyn. She has set up an ultrasound for later this month. After my pelvic exam I had a little spotting, but only for a day.The only prior incident like this was a number of years ago and she said it was just the delicate and thin tissue one gets as one ages. I'm hoping that is the case this time. I don't know what you can tell me, but I guess I need some reassurance or another opinion though I know possibilities, so guess I have to just wait and see the results of my pap smear and the ultrasound. I did have a polyp in the past and my gyn performed a colposcopy to discover it and removed it. I'm just a little panicked as I know post-menopausal women should not have spotting.
Postmenopausal bleeding is always concerning and deserves an evaluation. Causes of postmenopausal bleeding include endometrial polyp(s), endometrial hyperplasia (overgrowth of normal tissue) or endomterial cancer; additionally, sometimes women can have bleeding from atrophy (a too thin endometrial lining).
The evaluation for this typically involves a physical exam, a pelvic ultrasound and an endometrial biopsy (sampling of the tissue inside the uterus to assess for hyperplasia or cancer), and when the biopsy is benign (ie, not hyperplasia or cancer) and the endometrial lining is thick, evaluating the inside of the uterus by hysteroscopy or sonohysterogram for a polyp.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.