Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

190 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Is it normal to get period or spotting after menopause?

Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6010 Questions

default
Posted on Fri, 1 Feb 2013 in Menstruation and Miscarriage
Question: I am a 60 year old female and haven't had a period in 12 years. in the last 2 weeks i have had bleeding. The first time was very light and only lasted 2 days. 3 days ago I started again. This time feeling more like a normal period. Is this normal. I don't really have pain. Only slight discomfort off and on, primarily on the left side ovary area.
doctor
Answered by Dr. Aarti Abraham 2 hours later
Hello
Thanks for writing to us.
If you have gone without menstrual bleeding for more than a year, it is defined as Menopause, and ANY kind of menstrual bleeding, even spotting, is not normal after menopause.

Please make an appointment with your Gynecologist at the earliest, as this could be caused by a variety of reasons, that I am listing below, and some of them are serious.

1. Polyps, which are usually non cancerous growths, which develop on the uterus or the cervix.
2. Endometrial hyperplasia - This is thickening of the lining of the uterus, which might occur in postmenopausal women due to hormonal imbalances, and some forms of hyperplasia predispose to endometrial cancer. Obesity, diabetes, history of polycystic ovaries and hypertension are factors which add to the risk.
3. Endometrial atrophy - Extreme thinning of the lining of the uterus, which then breaks down and causes spotting/ bleeding.
4. Hormonal therapy, treatment with blood thinners, etc
5. Cancer of the cervix or adjacent organs might first be heralded by post menopausal bleeding.
6. Infections or senile postmenopausal atrophy of the vagina or uterus

For differentiating between these causes, your gynaecologist would perform a thorough systemic bodily examination, per vaginal and per speculum examination, as well as a pelvic examination.
An ultrasound, Pap test, or endometrial biopsy might be ordered.
Sometimes, a hysteroscopy, that is, visualisation of the interior of the uterine cavity with a telescope might be warranted.
D and C ( dilatation and curettage ) might be indicated for obtaining tissue for analysis from the uterus and cervical canal.

Treatment too obviously depends on the pathology found. Apart from cancers, most conditions are treated by minor surgical procedures / hormonal or other medication.

Take care and go for your check up at the earliest.
Please feel free to ask for further clarifications.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Treatment/Therapy
Medical Procedures ,   ,  
Medical Topics

Recent questions on  Hysteroscopy

doctor1 MD

yes. lets see! Six months after having a hysteroscopy; where a polyp was removed, the abnormal bleeding has returned. Although its not have heavy. Is it possible for the polyp to return? Is there a procedure that will remove them permanently? and is there anything I can do to prevent this from happening?

doctor1 MD

hi my name is nazia , actually i have just noticed blood in my stool i am 29 year old ,blood was bright red colour ,i noticed clear white mucus discharge while standind too long 2 years ago when i had a trip to florida, i had to walk alot so i thought may be because of that i am having this discharge ,but when i ever i stand too long so or i walk alot so i experineced same thing now today i got blood in my stool but with the slight pelvic pain for few minutes ,one more information i wuld like to tell you taht i have some infertility issues i.e high FSH level so he wants to do IVf for that reason my doctor did hysteroscopy b/c he noticed heart shape uterus , he noticed in hysteroscopy that i have septated uterus so he did uterus septal division surgery in 5/5/2011... i have allergic dry cough also ...now blood in stool i know its not a good sign ,so pleasee help

doctor1 MD

I had to undergo an lapro hysteroscopy in Sep 2017 and got my two tubes removed. Attached are the reports: 1. Surgical Notes 2. Discahrge Summary 3. Histopathology Report MY QUERY IS WHAT DO I INFER FROM THE HISTOPATH REPORT?? My medical history...

doctor1 MD

Hi sir my age is 38 not conceive 7 years for marriage. I get laperscopy hysteroscopy removed submucusol Fibriod. After that in period heavy bledding start. So doctor advise me to take nevolon. Should I take regular nevolon.

doctor1 MD

I had surgery on Friday I DNC and a hysteroscopy . Today I am super cold and lightheaded bleeding is not that bad almost minimal not sure they're related

doctor1 MD

Hysteroscopy was don to me on 6th Feb 2014 for remove fibroids and Dr advised me to take OVRAL G from that day for three months ,but did not explain why it should be taken ,Please tell me whether it should be taken for improve hormon condition ,and also advised to take Tab Overies for three months, my AMH level is 0.56 , FSH is 8.6IU/L , LH is 5.6, TSH is 3.1, E2 is 44.8, Bioavailable Testosterone is 0.24,FAI is 1.46,Free Tesosterone is 0.01 , my age is 43 can I become pregnent naturaly

doctor1 MD

I nderwent laproscopy, hysteroscopy and biopsy and got to know that I am suffering from endometrial TB. My tubes are normal. I am on medicine Monto 3. Its about two months. I wanted to know that can i undergo IUI, can i get pregnant if on medication?