What Does This FSH Level Indicate?
pist menopausal bleeding
Detailed Answer:
Hello
Your wife's FSH level suggests that she is menopausal . If a woman doesn't have menses for st least six mths then she is in menopause . Bleeding that occurs after menopause may be abnormal . The reason for this could be either hormonal imbalance or a pathological cause . I don't recommend hormonal therapy like deviry before more tests are done . I would suggest that a endometrial topsy be done if further bleeding occurs . If this episode of bleeding is controlled then just wait nd watch . Further episodes of bleeding need management . The cysts and fibroids are too small to cause any problems . Starting hormonal therapy after just one episode of bleeding will necessitate continuous ling term treatment . This could be a solitary episode . If the bleeding stops i suggest wait nd watch .
HRT
Detailed Answer:
You have been given hormone medication as part of Hormone Replacement Therapy. This is something that needs to be continued long term. If you get dependant on it it will be difficult to wean you off of it. I normally dont recommend HRT unless the patient cannot bear the symptoms. In your case, there was a isolated episode of bleeding. I would wait and watch for further such episodes to start further management like HRT and biopsy.
If you have further episodes of bleeding, do a biopsy. With oestrogen gel, endometrial thickness can increase but since its given along with progestins, that can be avoided. However, i would suggest repeating another ultrasound after 6 mths.
No need to abstain from sex
Detailed Answer:
Dryness can cause some discomfort and hence the chances of tissue damage are more . That can cause tears in the vaginal mucosa . No need to refrain from sex . But if further bleeding occurs after
Sex then she should be examined . Latex can also cause dryness . Make sure to use proper lubrication.
Thank you.