Can Stress Cause Postmenopausal Bleeding
As we women age, our bodies go through some drastic and remarkable changes. After the childbearing years, the 40s and the 50s, the female body begins to change away from procreation as the production of reproductive hormones naturally begins to decline. This phase of a womans life is called menopause and is signaled by 12 continuous months since the last menstrual cycle.
The average age in the United States for women to start menopause is around 51 years of age. There are three phases of menopause that women typically go through and they are perimenopause , menopause, and then postmenopause .
Many questions surround this phase of female life, and for the purpose of this article, we are going to look at the postmenopause phase and a common question that arises often.
Review Of Indian Literature On Postmenopausal Syndrome
The average age of menopause in India is 47.5 years, with an average life expectancy of 71 years. Therefore, Indian women are likely to spend almost 23.5 years in menopause .
About 3540% women between 40 and 65 years have been diagnosed to suffer from osteopenia and 830% suffer from osteoporosis. All women over 65 years have been found to suffer from osteopenia or osteoporosis .
A study which analyzed a sample consisting of menopausal, premenopausal and postmenopausal women in the age range of 3550 years using a two-stage screening procedure for identifying and screening psychiatric morbidity General Health Questionnaire and Standard Psychiatric Interview, found highest psychiatric co-morbidity in the menopausal group, in terms of age maximum number of cases with psychiatric co-morbidity were from 41 to 45 years. Menopausal women suffered more symptoms of menopause as well as psychiatric symptoms as compared to premenopausal women. Both set of symptoms was found to be less in the postmenopause group also. The most common reported symptoms in the group were depression, depressive thoughts, anxiety, and excessive concern about bodily functions. Supporting the findings of the earlier study the predominant symptom in menopausal women was depression.
How Is It Treated
That depends on whatâs causing the bleeding.
Estrogen therapy: This hormone is used to treat vaginal and endometrial atrophy. Your doctor may prescribe it in one of the following forms:
- Pills: Youâll take them by mouth.
- Vaginal cream: Youâll use an applicator to get it inside your body.
- Vaginal ring: You or your doctor can put it in place. It releases a steady dose of estrogen for about 3 months.
- Vaginal tablet: Youâll insert it using an applicator. You may need to do it daily, or a few times a week.
Progestin therapy: This lab-made version of progesterone is used to treat endometrial hyperplasia. Your doctor may prescribe it in a pill or shot, a vaginal cream, or intrauterine device.
Hysteroscopy: This procedure can remove polyps. Doctors also use it to remove thickened parts of the uterine lining caused by endometrial hyperplasia. Theyâll insert a hysteroscope into your vagina and pass tiny surgical tools through the tube.
D& C : In this surgery, the doctor opens your cervix. . They use a thin tool to remove polyps or thickened areas of the uterine lining caused by endometrial hyperplasia.
Hysterectomy: This surgery removes part or all of your uterus. Itâs a treatment for endometrial or cervical cancer. Some people with a precancerous form of endometrial hyperplasia may also need it. In some cases, the doctor may also take out your ovaries, fallopian tubes, or nearby lymph nodes.
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An Introduction To Stress And Menopause
Everyone has experienced the feeling of being stressed at some point in their life, even if only for a brief moment. However, among some menopausal women, stress can be a prominent experience. It is a feeling of being under too much pressure, often both emotionally and physically.
Stress is the result of your bodys reaction to a specific situation. Two people can go through the same experience one might find the position stressful and the other perfectly reasonable and comfortable.
The Diagnostic Process May Involve Multiple Steps
Even though postmenopausal bleeding can have a number of different causes, your doctors first objective is to rule out potential cancers.
Well usually do a physical exam to look for blood or masses, such as fibroids, followed by an ultrasound to see how thick a patients uterine lining is, Mantia-Smaldone explained. A postmenopausal womans uterine lining should be quite thin, since she isnt menstruating.
Endometrial cancer can cause the lining of the uterus to thicken. If your uterine lining appears thicker than normal, your doctor will recommend a biopsy, in which a sample of your uterine lining is removed and examined under a microscope.
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Ht Forms And Regimens
HT comes in several forms:
- Oral tablets or pills
- Vaginal ring
- Topical gel or spray
HT pills and skin patches are considered “systemic” therapy because the medication delivered affects the entire body. The risk for blood clots, heart attacks, and certain types of cancers is higher with hormone pills than with skin patches or other transdermal forms.
Vaginal forms of HT are called “local” therapy. Doctors generally prescribe vaginal applications of low-dose estrogen therapy to specifically treat menopausal symptoms such as vaginal dryness and pain during sex. This type of ET is available in a cream, tablet, or ring that is inserted into the vagina.
“Bioidentical” hormone therapy is promoted as a supposedly more natural and safer alternative to commercial prescription hormones. Bioidentical hormones are typically compounded in a pharmacy. Some compounding pharmacies claim that they can customize these formulations based on saliva tests that show a woman’s individual hormone levels.
The FDA and many professional medical associations warn patients that “bioidentical” is a marketing term that has no scientific validity. Formulations sold in these pharmacies have not undergone FDA regulatory scrutiny. Some of these compounds contain estriol, a weak form of estrogen, which has not been approved by the FDA for use in any drug. In addition, saliva tests do not give accurate or realistic results, as a woman’s hormone levels fluctuate throughout the day.
Period Again After None For 2 Years
I am 50 years old. I have not had a period for two years, but today I started. Is this normal?
26 likes, 1070 replies
Edited 4 months ago
I did have this happen to me also – postmenopausal bleeding – only a bit earlier . I could not attribute it to any particular changes and was frightened. Saw my family doc asap. He ordered a transvaginal ultrasound and I think I also had a smear. All was normal. You certainly should report this to your doctor, though – standard orders for any such bleeding. Call today.
Edited 4 months ago
I am so glad to have found this forum. Suddenly had a period after a 13 month period. I was not surprised to see it as two weeks prior had some signs that I was ovulating. But on being advised by a friend to see a doctor I googled post menopausal bleeding and was scared to death with what I read about it possibly being signs of cancer. I didn’t sleep last night as a result and will certainly get it checked out by the Doctor but I feel loads better to read that it seems to happen to quite a lot of women. Fingers crossed that everything is normal. But thanks everyone for sharing.
Edited 4 months ago
Sorry – should clarify: it is important to report vaginal bleeding that occurs AFTER 12 months have passed without a period. You clearly fall within that guideline.
Edited 4 months ago
i had a clear smear test this year but after 2 years of nothing, am having a heavy period. do i need to see doc still? i cant bare the thought of being poked about again.
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Why Am I Bleeding Two Years After My Last Period
It all started when I had this awesome idea to change my HRT delivery method. I decided to have the Mirena fitted to deliver my Hormone Replacement Therapy directly where its needed. Oh how I wish Id left my body alone
After a torturous Peri-menopause& experimenting with various types of treatmentI settled on Evorel patches& Utrogestan pills. This combination was a complete success & I was living my best life. Sleeping well, no menopause symptoms at all & absolutely no bleeding what so ever.
Then I read that the safest delivery for HRT is the Mirena. I could stop using patches & would no longer take a pill every night, thus protecting my kidneys. All I had to do was have the tiny device fitted & Id be good for seven years AWESOME! It sounded so simple.
Well, it wasnt. From day one of having the Mirena I bled. Some days it was lighter than others but it was every single day. I knew beforehand this was a possible side effect of healing from the Mirena settling in. However, by the fourth month, Id had enough. Me and Mirena are clearly not getting along.
Out it came.
General Recommendations For Ht
Current guidelines support the use of HT for the treatment of severe hot flashes that do not respond to non-hormonal therapies. General recommendations include:
- HT may be started in women who have recently entered menopause.
- HT should not be used in women who have started menopause many years ago.
- Women should not take HT if they have risks for stroke, heart disease, blood clots, and breast cancer.
- Currently, there is no consensus on how long HT should be used or at what age it should be discontinued. Treatment should be individualized for a woman’s specific health profile.
- HT should be used only for menopause symptom management, not for chronic disease prevention.
Before starting HT, your doctor should give you a comprehensive physical exam and take your medical history to evaluate your risks for:
- Heart disease
- Breast cancer
While taking HT, you should have regular mammograms and pelvic exams and Pap smears. Current guidelines recommend that if HT is needed, it should be initiated around the time of menopause. Studies indicate that the risk of serious side effects is lower for women who use HT while in their 50s. Women who start HT past the age of 60 appear to have a higher risk for side effects such as heart attack, stroke, blood clots, or breast cancer. HT should be used with care in this age group.
Women who should not take hormone therapy include those with the following conditions:
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Start Ovulating After Menopause Your Mind
That the mind plays a part in achievement – especially what we currently believe to be exceptional achievement – is not new. For decades now, all the top athletes have been using the power of the mind to visualise their desired results. So I would be encouraging you, Tracey, to tap into that gorgeous mental capacity of yours for sure! But the way I can serve you most here is to remind you about the importance of Engaging the Feminine® in that process too. And what I mean by that is to tune into, for example, how you feel as you direct your mind. Because how you feel is part of your feminine wisdom and it really matters here. For example, you can think about your pituitary releasing levels of follicle stimulating hormone that support ovulation: while feeling anxious and desperate or while feeling curious and excited about playing around with this potential.In the former you are plugging into just the power of the mind – as we have been trained in patriarchy. But the latter leverages your mind and your feelings . Both of which are essential in any co-creation .
Can Stress Bring On Early Menopause Your Questions Answered
Chronic stress can cause mental health problems, cardiovascular problems, and for women, it is connected with early menopause.
We all experience stress, but managing it could be even more important than you once thought.
But before you let the idea of early menopause stress you out more, lets review the facts. Read below for everything you need to know about the connection between stress and early menopause.
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What Is Vaginal Bleeding After Menopause
Vaginal bleeding after menopause refers to any vaginal or uterine bleeding that occurs after a woman has gone through menopause. Menopause is defined as having experienced a period of 12 consecutive months without a menstrual period.
All vaginal bleeding after menopause is abnormal and should be evaluated by a health care practitioner. Vaginal bleeding after can result from gynecologic disorders, such as , fibroids or polyps, or from complications of hormone replacement therapy . Remember, not all bleeding in the genital or vaginal area originates in the female genital tract. For example, are often the unsuspected culprit.
The menstrual period is controlled by two hormones: estrogen and progesterone. After menopause, the production of these hormones declines substantially. Women who are on HRT may sometimes experience vaginal bleeding after menopause. Women with thyroid disorders may have hormonal imbalances that can result in vaginal bleeding after menopause.
Vaginal bleeding after menopause can occasionally be a sign of a serious or potentially life-threatening condition. Seek immediate medical care if you, or someone you are with, experience severe or uncontrolled bleeding accompanied by a fast heart rate. If you experience vaginal bleeding after menopause, seek prompt medical care. Your health care provider will determine the cause of your abnormal bleeding through a pelvic examination and other tests.
Start Ovulating After Menopause Research And Beyond
I have poured over some of the research in a few previous posts which I will link to here. For example, this one dealing with menopause reversal in which menopausal women began ovulating again following this new treatment. Resulting in pregnancy with their own eggs. These are early results. However, I feel that they are pointing us to what is going to be happening more and more in the future. That menopause and cessation of certain processes in the body will not be final, as we’ve understood them to be in patriarchy. But rather we will have more and more possibilities open to us as women. To reactivate our ovaries – as it relates to our current understanding of ovulation – if we so wish. And if that feels authentic for us. So let’s address your question more specifically Tracey…
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Start Ovulating After Menopause
Would you like to start ovulating after menopause? It’s a topic that is coming up more and more often in the world of fertility. And that, in my opinion, is a very good thing! This audio and article below were inspired by a question I received from Tracey – one of the wonderful women in our tribe. Here is what she had to say:
“Deirdre, do you believe in the ability of the mind to reverse the hormones to tell the pituitary gland to connect again and produce and release eggs? I am curious and want to explore this somehow. What do you think?”
Not Sure What To Do Next
If you are still concerned about bleeding after menopause, use healthdirects online Symptom Checker to get advice on when to seek medical attention.
The Symptom Checker guides you to the next appropriate healthcare steps, whether its self care, talking to a health professional, going to a hospital or calling triple zero .
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Things To Know About Postmenopausal Bleeding
Spotting or light bleeding after menopause might not seem like a serious problem, but you should never ignore it or wait to bring it up with your doctor. After a womans periods have stopped, vaginal bleeding could be a sign of a health issueincluding endometrial cancer. Heres what every postmenopausal woman should know.
Sometimes It Can Be Hard To Determine Whether A Missed Period Is Due To Approaching Menopause Or A Stressful Lifestyle We Look At How Both These Factors Influence The Menstrual Cycle And Discuss What You Should Do If You Are Affected
During the reproductive years there are a number of reasons that women experience irregular periods. The most common factors are anxiety, stress, fatigue, and over-exercising, all of which affect the balance of hormones in the body. But for middle-aged women, irregular periods can be one of the first signs they are approaching menopause, which in turn can trigger further stress, depression and anxiety. For these reasons it is often hard for women to determine whether a missed period is due to approaching menopause or various lifestyle factors.
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Stress And Early Menopause Answered
For women between the ages of 40 and 45 early menopause can be a difficult situation to manage physically and emotionally. There are a number of things that can increase the liklihood of early menopause.
The best thing you can do to maintain sexual and reproductive wellness is to take care of your body and your emotional wellbeing. The truth is that engaging in negative health behaviors like smoking or excessive drinking can contribute to early menopause.
It is also important to take care of your mental and emotional health.
So, to answer the question directly, can stress bring on early menopause, the answer is yes. However, stress is usually one of several factors and does not act alone in causing early menopause.
If you want to read more about womens health and specifically hormone health, check out some of our other blogs.
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