A. Having this type of bleeding and breast tenderness near menopause is very common and represents fluctuations in hormonal balance. If it happens occasionally, it is likely not a problem. But if it continues to occur or becomes more frequent, talk with your doctor to be sure it isn’t something else. He or she might want to do some blood tests for estrogen and progesterone and FSH, and also check the lining of your uterus, possibly with ultrasound to see the thickness and possibly by doing an endometrial biopsy to check the lining of the uterus directly and be sure it is normal.
Machelle M. Seibel, MD
(I'm just about your age, and I'll do a little cheerleading for endometrial ablations! I had one last June, and it was a blessing! I barely have a day of spotting instead of my period now. I'd do it again in a heartbeat. I also had a couple of weirdly close periods just beforehand, so they did a D&C before the ablation to look at the endometrium just in case. Everything was fine, though.)