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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What could be causing vaginal bleeding and lower abdominal pain after menopause?

Answered by
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4240 Questions

Posted on Fri, 11 Jan 2019 in Women's Health
Question: I had my gallbladder removed on 02.01. Am post menopausal -no period for at least a year. Day after surgery started bleeding same as if on period..lasted about 5 days, stopped, now has started uo very lightly (just pinkish now) but w pain in lower abdomen. What could be the issue? Is it related to the surgery?
Answered by Dr. Prof. Kunal Saha 2 hours later
Brief Answer:
Seems to be due to hormone deprivation.

Detailed Answer:


Thanks for your query.

I have gone carefully through your query and understand your concerns. Going by the mentioned symptoms it seems that you are suffering from hormone deprivation. Such a thing is commonly encountered in perimenopausal or post-menopausal women. If that is the case, hormone replacement therapy (HRT) could provide relief. You need to visit a gynecologist to get evaluated and tested. He would be able to set up the right regimen for you.

I do not suppose that this is related to the surgery that you underwent.

Let me know if I could help further.

Above answer was peer-reviewed by : Dr. Raju A.T
Follow up: Dr. Prof. Kunal Saha 6 hours later
Ive researched it quite a bit online, and have found many other women asling the exact same question as I after same surgery. It would be an interesting queztion to havs fully answered for both patient and physician. I def feel there was something about the surgery that somehow encouraged the bleeding to begin;it is only logcal in that a period began the very next day. Incidentally, since I had a stroke after the birth of my first child I am not a candidate for HRT.
Answered by Dr. Prof. Kunal Saha 5 hours later
Brief Answer:
Menopausal age is the cause.

Detailed Answer:


I understand your query. The answer from a physician's perspective is rather simple. Gall bladder stones are frequently found in women around the menopausal age. Needless to say that many of them need to undergo such a surgery. Now, menopause essentially means that the hormonal support that the ovaries had been providing since puberty, would no longer be there. This gives rise to hormonal deprivation and therefore the symptoms. So, although the surgery or even gall bladder pathology have no direct role to play, the symptoms are essentially faced by the population you mention.

I am sorry to know that you had suffered a stroke. But still, it does not mean that you cannot undergo HRT. There would indeed be some reservations. But a balance needs to be sought. You need to discuss the issue parametrically with your doctor.

Dr. Prof. Kunal Saha, General & Family Physician
Above answer was peer-reviewed by : Dr. Kampana

The User accepted the expert's answer

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