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Menopause  (Expert Forum)
 | 
Bleeding after Menopause
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy , hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis , sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.

Bleeding after Menopause

by BRB, May 23, 2006 12:00AM
I completed menopause in November 2005.  I am 54 years old  I saw my gynecologist and she did blood work to make sure I had completed menopause.  All of the blood work came back, indicating I had completed menopause.

In January 2006, I had some spotting and called my GYN.  I had to go in and have ANOTHER endometrial biopsy and a trans vaginal ultrasound.  Everything came back fine.  I have had two fibroid tumors and 5 polyps for many years.  I bled again in February.  The doctor put me on a hormone to thin out the lining and I have had a very heavy period in April and May and I will have one in June.  Then we will talk.  Possibly getting a hysterectomy.  I have had such problems for the past 10 years with heaving bleeding and severe migraine headaches.  I asked them to remove everything years ago and they would not.  Now, after going thru all of the problems, they might want to do a hysterectomy.  Any comments.

by Machelle Seibel, MD, May 24, 2006 12:00AM
A. It might be necessary to do a hysteroscopy, done by placing a small telescope into the uterus. This is often done in the operating room but is sometimes done in the office. It doesn’t take more than a half an hour and the person goes home the same day. Sometimes hysteroscopy can let the doctor see a problem that is missed by a biopsy which takes only a small bit of tissue and something that might be missed by ultrasound too.  However, if the ultrasound and biopsy are both “fine” as you say, the chances are that nothing bad is going on.  Often the problem can be controlled with hormones taken for a short while and the three months you are on them might be enough time to straighten things out.  If you are concerned about a hysterectomy, or don’t want one at this time, consider getting a second opinion just to be sure there isn’t another option.
Machelle M. Seibel, MD
Member Comments (2)

by cindrela, Jun 06, 2006 12:00AM
My mother has not had her period for 2 years and now she got it just a week ago which somehow does not seem right. Could you please assure me that this happens because I'm worried and could not wait till she went to see her Gyn.
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