Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
183 Doctors are Online

50 years old. Started spotting and bleeding with clots. Should I be worried?

Mar 2016
User rating for this question
Very Good
Answered by

Practicing since : 2011
Answered : 4045 Questions
hi i just turned fifty and for the first two weeks had spotting and then started heany bleeding and blod clots and not letting up is this a part of going thur the change of life
Posted Sat, 16 Feb 2013 in Menstruation and Miscarriage
Answered by Dr. S Patra 1 hour later

Thanks for writing to us. I have gone through your history in detail.

Yes, sometimes irregular bleeding may be seen in this age group. But we should take all possible precautions to ensure that we're not missing anything serious.
Causes of heavy bleeding in this age group include
1) Hormonal imbalance, caused by dysfunction of ovary without ovulation leads to progesterone deficiency.
2) Adenomyosis/ endometrial hyperplasia / Dysfunctional uterine bleeding (DUB)
3) Uterine fibroid & polyp (body and cervical region)
4) Rarely carcinoma- endometrial/ cervical
5) Use of certain medication etc.

Complete physical examination including pelvic/speculum exam and colposcopy if indicated, is needed to carry on to rule out underlying pathology.

Possibilities can be narrowed by several investigations like blood test for thyroid profile & clotting factor abnormality, Ultrasound scan for pelvis, pap smear test to detect cancerous changes and endometrial biopsy ( which may or may not be needed)

There are certain treatment protocol with initiation of hemostatic agent combined with oral progesterone tab. If above medical treatment fails to control bleeding, then approach would be surgical by the means of Dilation and curettage (D&C), Operative hysteroscopy to remove polyp, Endometrial ablation in case of hyperplasia. Total hysterecetomy (removal of uterus,tube & cervix) is the ideal choice in your age group.

So please consult with your gynecologist. It would definitely be required.

Till then, the following things should help:
1) Take healthy diet with iron supplements
2) Drink more water and eat leafy vegetables/ fruits.
3) Avoid heavy work or straining
4) Avoid stress/anxiety & maintain personal hygiene.

Hope I have answered your query. If you have any further questions I will be happy to help.

Wish your good health
Dr Soumen
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Procedures

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor