What You Need To Do If Your Periods Have Come Back
Now, what do you do in these cases? On the whole, it’s usually nothing to worry about, but if you do get a proper period back within this time frame that means your hormones have started up again. And you have to count right back from the beginning which I know is a bit of a pain, but because your periods have had one little surge out of the blue that doesn’t mean that you’re not going to get any more.
What Can Cause Period After Menopause
Whilst going through menopause, however, you may experience bleeding that looks similar to your menstrual cycle, even if you are not ovulating. This is known as perimenopausal bleeding, and you can even bleed after having already reached your menopause, which can indicate something serious, and you should make a medical visit as soon as possible. Some possible causes are listed below:
Polyps refer to growths that usually develop within the uterus, inside the cervical canal or on the cervix. These polyps can cause bleeding after menopause, yet they are usually benign.
2. Atrophy of the Endometrium
Atrophy of the endometrium , is a condition wherein the uterus’s tissue lining becomes extremely thin due to low estrogen levels caused by menopause. The occurrence of this condition can cause bleeding after menopause.
3. Endometrial Hyperplasia
This condition may be caused by over-eating and obesity, wherein the lining of the uterus becomes too thick, leading to vaginal bleeding. This condition may also lead to the development of abnormal cells, which may be an instigator for endometrial cancer.
4. Endometrial Cancer
5. Other Causes
Some medications may cause postmenopausal bleeding, leading you to think that you have had a period after menopause. Other causes include hormone therapy, and/or a uterus or cervix infection.
After Your Period Stops
The permanent end of menstrual periods doesnt necessarily mean the end of bothersome menopause symptoms, however.
Theres a window of about eight years in which women can feel those flashes and sweats, Dr. Audlin says.
Women who have reached menopause can expect menopause symptoms to become worse than they were during perimenopause, the 2- to 10-year stage leading up to the permanent end of menstruation. Experts dont know exactly why this happens, but its believed to be related to the hypothalamus, the portion of the brain that regulates temperature.
The hypothalamus is acutely responsive to estrogens, Audlin says. Leading up to menopause, your estrogen levels fluctuate. When theyre high, you dont have symptoms. But when you go into menopause and theres a complete lack of estrogen, you start to notice those symptoms more.
A Few Important Topics To Raise With Your Doctor
It seems like, every day, the advice from the medical community about healthy aging changes. For example, our bodies need cholesterol, so, you may want to see if your doctor can recommend a natural approach to your cholesterol management plan. Eggs, for example, are a wonderful source of healthy cholesterol. Just dont forget to eat both the white and the yoke to get the right balance of nutrients.
An important vitamin that may help to keep our hormones in balance after 60 is B6. This is found in walnuts, lean red meat, poultry, spinach and beans. Personally, Im a fan of supplements, but, Julie reminds us that, where possible, its best to get your nutrients naturally. Another nutrient to consider is zinc, which is found in dark chocolate.
At the end of the day, everyones body is different, but, dont be afraid to have a conversation with your doctor about dealing with your hormones after 60. There are plenty of natural ways to bring your body back into balance.
When Does Menopause Occur
Most women reach menopause between 45-55 years of age, and the average age for women in Australia to reach menopause is 51-52 years. Some women will have a later menopause, at up to 60 years of age, especially if there is a family history of late menopause.
Menopause sometimes occurs earlier than expected as a result of cancer treatment, surgery or unknown causes. This is discussed further in ‘Causes of menopause’.
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Are There Any Health Risks Associated With Postmenopause
People in postmenopause are at an increased risk for several conditions:
Estrogen helps protect against cardiovascular diseases like heart attack, heart disease and stroke. It is also common for people in postmenopause to become more sedentary, which contributes to high cholesterol and high blood pressure. These factors combined can increase a womans risk for cardiovascular diseases after menopause. A healthy diet, not smoking and getting regular exercise are your best options to prevent heart disease. Treating elevated blood pressure and diabetes as well as maintaining cholesterol levels are also ways to lower your risk.
People lose bone more rapidly after menopause due to decreased levels of estrogen. You may lose up to 25% of your bone density after menopause . When too much bone is lost, it increases your risk of developing osteoporosis and bone fractures. The bones of the hip, wrist, and spine are most commonly affected. Bone mineral density testing, also called bone densitometry, can be done to see how much calcium you have in certain parts of your bones. The test is used to detectosteoporosis and osteopenia, a precursor to osteoporosis.
Mental health issues
When Should I Call My Doctor
If any of your postmenopause symptoms bother you or prevent you from living your daily life, contact your healthcare provider to discuss possible treatment. They can confirm you have completed menopause and are in postmenopause.
Some questions you might ask are:
- Are these symptoms normal for people in postmenopause?
- Is there treatment for my symptoms?
- Is hormone therapy still an option?
- What can I do to feel better?
If you experience any vaginal bleeding during postmenopause, contact your healthcare provider to rule out a serious medical condition.
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With All That Said You Can Still Have A Great Sex Life In Menopause
Pizarro and Brown-James both agree on this point. In fact, Dr. Pizarro says meno post-menopausal people have very active sex lives even without taking estrogen. Whats more, sexual satisfaction might increase once someones been through menopause.
There are a few reasons that might happen. The worry of being pregnant is no longer there, says Brown-James. Also, some people experience an increase in their sexual awareness of their bodies. Many women have not been taught to explore their bodies and have internalized ideas that the vulva or vagina are dirty or for someone elses pleasure, not theirs, she explains. A lot of times, if the knowledge that none of that is true hasnt taken root before, it gets dispelled at this point, and women realize their bodies are really for themselves. Bonus: That may also lead to more intense orgasms, says Brown-James.
What If You Want To Get Pregnant After You’ve Hit Menopause
Okay, so let’s say you’ve already hit menopausemeaning you haven’t had a period in 12 months or morebut you would still like to get pregnant. Luckily, if that’s your choice, science is on your side through a process called in vitro fertilization .
According to the US National Library of Medicine , IVF is essentially the joining of a woman’s egg with a man’s sperm, outside of the woman’s body . In women who are of childbearing age, there are five steps to IVF: stimulation, egg retrieval, insemination and fertilization, embryo culture, and embryo transfer. However, because women who have already gone through menopause are not producing eggs, they do not need to go through the first two steps, and will instead have to use eggs from a donor.
From there, it’s like any other IVF pregnancy: Once a fertilized egg divides and become an embryo outside of the body, per the NLM, it’s placed inside the woman’s womb, where she can carry the embryo, then fetus, to term.
The bottom line: If you havent yet reached menopause but are perimenopausal, you can definitely still get pregnant. But if youve already hit menopause when you decide you want to consider motherhood, its not necessarily too late” for that, either.
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Women Take Note Vaginal Bleeding After Menopause Is Unusual Period
Written by Debjani Arora | Updated : July 20, 2018 4:47 PM IST
Dubious can be the matters of women’s health and her hormones. While periods or menstruation is considered to be the most uncomfortable and painful phase of a woman’s life which compels her to deal with severe cramps, heavy flow and other debilitating conditions like endometriosis, PCOD, etc., menopause comes with its own set of problems. Lack of estrogen during menopause leads to a lot of physiological and psychological problems in women. Some of the most common symptoms of menopause are — vaginal dryness, low libido, decrease in bone density, fatigue and more. Some of these symptoms can be devastating to deal, to an extent that it could make a woman suffer in silence for long. This is when hormone replacement therapy is suggested for women.
How does it help?
Bleeding After Menopause: How To Get A Diagnosis
No matter the cause of your postmenopausal bleeding, its important to visit the doctor. In most cases, this symptom is caused by a minor condition however, all possible causes must be ruled out. There are several different tests and/or procedures your doctor might recommend to discover the cause of postmenopausal bleeding.
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Is Bleeding During Perimenopause Normal
The years before menopause are called perimenopause. During this time, your hormones shift. Your period may be heavier or lighter than usual. You may also have spotting. Thatâs normal. But if your bleeding is heavy or lasts longer than usual, talk to your doctor. You should also get checked out if you bleed after sex or more often than every 3 weeks.
Ming Tsai, MD, associate professor, obstetrics and gynecology, NYU School of Medicine chief of service, obstetrics and gynecology, NYU Lutheran, New York City.
American College of Obstetricians and Gynecologists: âEndometrial Biopsy,â âEndometrial Cancer,â âEndometrial Hyperplasia,â âHysterectomy,â âPerimenopausal Bleeding and Bleeding After Menopause,â âSonohysterography.â
Mayo Clinic: âBleeding After Menopause: Is It Normal?â âDilation and curettage ,â âDiseases and Conditions: Menopause,â âVaginal Atrophy.â
Journal of Midwifery and Womenâs Health: âAbnormal Uterine Bleeding.â
Cleveland Clinic: âWhat is Hysteroscopy?â
Obstetrics & Gynecology: âManagement of Endometrial Precancers.â
What Is Perimenopause Or The Transition To Menopause
Perimenopause , or the menopausal transition, is the time leading up to your last period. Perimenopause means around menopause.
Perimenopause is a long transition to menopause, or the time when your periods stop permanently and you can no longer get pregnant. As your body transitions to menopause, your hormone levels may change randomly, causing menopause symptoms unexpectedly. During this transition, your ovaries make different amounts of the hormones estrogen and progesterone than usual.
Irregular periods happen during this time because you may not ovulate every month. Your periods may be longer or shorter than usual. You might skip a few months or have unusually long or short menstrual cycles. Your period may be heavier or lighter than before. Many women also have hot flashes and other menopause symptoms during this transition.
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The Reassuring News On Postmenopausal Bleeding
The analysis found that most post-menopausal bleeding is caused by a noncancerous condition, such as vaginal atrophy, uterine fibroids, or polyps. That information doesnt really differ from what doctors have historically thought about the incidence of endometrial cancer and bleeding, says Dr. Berkowitz. But it does finally put solid data behind those figures, which was missing in the past, he says. The researchers who conducted this study were looking for clues about postmenopausal bleeding and how it relates to endometrial cancer.
Symptoms Of Postmenopausal Bleeding
Many women who experience postmenopausal bleeding may not have other symptoms. But symptoms may be present. This can depend on the cause of bleeding.
Many symptoms that occur during menopause, like hot flashes, often begin to decrease during the postmenopausal time period. There are, however, other symptoms that postmenopausal women may experience.
Symptoms postmenopausal women may experience include:
- vaginal dryness
A doctor may conduct a physical exam and a medical history analysis. They may also conduct a Pap smear as part of a pelvic exam. This can screen for cervical cancer.
Doctors may use other procedures to view the inside of the vagina and the uterus.
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The Significance Of Bleeding After Menopause
Bleeding after menopause or “postmenopausal bleeding” can be defined as the resumption of vaginal bleeding at least 6 months after a woman experiences her last menstrual period. This assumes of course that she is indeed menopausal ie. in her late 40’s, perhaps having hot flashes and night sweats, mood swings, insomnia, perhaps experiencing some vaginal dryness.
Bleeding after menopause or “postmenopausal bleeding” can be defined as the resumption of vaginal bleeding at least 6 months after a woman experiences her last menstrual period. This assumes of course that she is indeed menopausal ie. in her late 40’s, perhaps having hot flashes and night sweats, mood swings, insomnia, perhaps experiencing some vaginal dryness. The bleeding pattern most women experience as they approach menopause is one where the periods become lighter, shorter in duration, and the interval between periods changes so that the periods are either somewhat closer together or intervals greater than her customary 28 days. Cycles may be missed entirely for a couple of months.
Polyps and fibroids are common benign growths that develop in the uterine cavity. The former is most often associated with irregular light spotting, staining or actual light bleeding. The latter may also present this way, but in fact may be associated with much heavier bleeding.
Cancer obviously requires a much more aggressive surgery, namely hysterectomy.
Bleeding After Menopause: Get It Checked Out
Bleeding after menopause can be disconcerting, but the good news is, more than 90% of the time its not caused by a serious condition, according to a study in JAMA Internal Medicine. That said, the study also reinforces the idea that postmenopausal bleeding should always be checked out by your doctor to rule out endometrial cancer, a cancer of the uterine lining, says Dr. Ross Berkowitz, William H. Baker Professor of Gynecology at Harvard Medical School. This is because the study also found more than 90% of women who did have endometrial cancer had experienced postmenopausal bleeding. And screening all women who experience bleeding after menopause for endometrial cancer could potentially find as many as 90% of these cancers, which are highly curable if found early.
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What Is Postmenopausal Bleeding
Postmenopausal bleeding is bleeding that occurs after menopause. Menopause is a stage in a womans life when reproductive hormones drop and her monthly menstrual periods stop. Vaginal bleeding that occurs more than a year after a womans last period isnt normal. The bleeding can be light or heavy.
Postmenopausal bleeding is usually due to benign gynecological conditions such as endometrial polyps. But for about 10% of women, bleeding after menopause is a sign of uterine cancer . Uterine cancer is the most common type of reproductive cancer Talk to your healthcare provider if you experience any bleeding after menopause.
How Do I Stay Healthy After Menopause
It is important to maintain a healthy lifestyle, especially as you age and your risk for certain medical conditions increases. Some ways for people in postmenopause to stay healthy include:
- Exercising regularly. Walking, doing yoga or strength training can help lower your risk for many medical conditions.
- Weight-bearing exercises can strengthen your bones and muscles.
- Eating a healthy diet. Foods like fruits, vegetables, lean meats and whole grains should make up the bulk of your diet. Avoid lots of salt or sugar and limit your consumption of alcohol.
A note from Cleveland Clinic
Going through menopause can be uncomfortable and present new challenges and health concerns. Speak with your healthcare provider about any symptoms you feel or questions you have. They can help make sure you are supported through this time and get the care you need.
Last reviewed by a Cleveland Clinic medical professional on 10/05/2021.
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When Does Menopause Usually Happen
Menopause happens when you have gone 12 months in a row without a period. The average age of menopause in the United States is 52. The range for women is usually between 45 and 58. One way to tell when you might go through menopause is the age your mother went through it.
Menopause may happen earlier if you:
- Never had children. Pregnancy, especially more than one pregnancy, may delay menopause.
- Smoke. Studies show smoking can cause you to start menopause up to two years earlier than women who dont smoke.
can also cause you to start menopause earlier.
Menopause usually happens on its own. However, you may enter menopause earlier than you normally would if you have had chemotherapy or surgery to remove both ovaries. Learn more about early menopause on our page.
Causes Of Postmenopausal Bleeding
There can be several causes of postmenopausal bleeding.
The most common causes are:
- inflammation and thinning of the vaginal lining or womb lining caused by lower oestrogen levels
- cervical or womb polyps growths that are usually non-cancerous
- a thickened womb lining this can be caused by hormone replacement therapy , high levels of oestrogen or being overweight, and can lead to womb cancer
Less commonly, postmenopausal bleeding is caused by cancer, such as ovarian and womb cancer.
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