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Menopause  (Expert Forum)
 | 
Mid cycle bleeding
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.

Mid cycle bleeding

by who_is_this, Jun 08, 2006 12:00AM
I'm 48 and have always had regular, 28-30 day cycles.  This cycle, I started bleeding heavily on cd17-21. This bleeding was bright red, heavier than my normally heavy periods, and accompanied by cramping.  It is now decreasing to just spotting.  This has never happened to me before.  

I'm scheduled in a week for an endometrial ablation for heavy periods.  Should I mention this abnormal mid cycle bleeding to my doc before the procedure, or just assume it was a weird perimenopausal thing?  I did cal the office, but only spoke to the nurse who said not to worry about it at all.  While my periods are heavy, I've never had midcycle bleeding at all.  I'm just a little worried that the ablation will make it difficult to detect if a problem is developing.  

Thank you.

by Machelle Seibel, MD, Jun 10, 2006 12:00AM
A. It’s always a good idea to mention things like a change in bleeding pattern to your doctor before the endometrial ablation.  He or she might want to do and endometrial biopsy and check the lining of your uterus before going ahead with the scheduled ablation.  That would delay the procedure for a week or so until the results come back.  They could also do a hysteroscopy to look inside your uterus with a telescope before the procedure and feel reassured that way. It is also possible that they will just consider it perimenopausal bleeding not worry about it.  One thing to consider is testing your blood count and iron level to be sure you aren’t spotting because you have become anemic from heavy periods.
Machelle M. Seibel, MD
Member Comments (2)

by stellakaz, Jun 13, 2006 12:00AM
is endometrial ablation were they cut your womb awy to make your periods lighter if so can your womb grow back
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