At 51, the most likely cause of the problem is perimenopause. But since you do have abdominal tenderness, it is a good idea to be seen by your gyn to be sure you do not have a problem such as an abnormal uterine lining or endometritis (an inflammation of the uterine lining). For droddy, it might also be a good idea to have a blood count done and check for low iron as well. Iron deficiency is a common cause of staining in younger women and it is treated by taking iron tablets for about 3 to 6 months to both treat the low iron and build back up your iron stores.
Machelle M. Seibel, MD