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What Does Having A Period After Menopause Mean

How To Deal With Period After Menopause

Can you get your period again after menopause – What does bleeding after menopause mean

As previously stated, you should pay a visit to your doctor if you experience postmenopausal bleeding, so they are able to determine the cause and rule out any dangerous underlying health conditions or treat them if they are present. If it is determined that you are in fact experiencing perimenopausal bleeding, you can deal with that condition in the following ways.

1. Birth Control Medication

When going through menopauseand experiencing period after menopause, you can take oral contraceptive birth control medications to control symptoms related to the occurrence of hot flashes, sweating and bleeding, etc.

2. Hormonal Treatment

Hormonal medication such as progestogen can help to regulate the perimenopausal blood flow, helping to make it more manageable. This medication is a form of the hormone progesterone, which is responsible for causing the normal menstrual bleeding.Hormonal medication can be used in the treatment of endometrial hyperplasia.

3. Observing Your Symptoms

Although perimenopausal bleeding is often no cause for concern, it is always wise to inform your doctor of your condition, and observe any changes or irregularities. You also require iron supplements if the loss of blood is too extensive, which can be discussed with your doctor.

4. Enhance General Health

It is always advised to lead a healthy lifestyle to ensure for healthy life longevity, this is especially advised for those going through perimenopause and menopause. Some things to consider include:

What Is The Most Common Cause Of Postmenopausal Bleeding

According to an analysis published in JAMA Internal Medicine, abnormal vaginal bleeding after menopause is typically caused by a noncancerous condition. Some of the most common examples include vaginal atrophy , endometrial atrophy, uterine fibroids, and endometrial polyps.

  • Vaginal and endometrial atrophy: As estrogen hormone levels decrease, the uterine lining and vaginal tissue typically become thinner. This is known as atrophy, and it can cause postmenopausal bleeding.
  • Uterine polyps and fibroids: Polyps and fibroids are noncancerous growths that grow in the uterus. These similar but distinct growths can both cause abnormal bleeding after menopause.

While these conditions are all common causes of postmenopausal bleeding, they arenĂ¢t the only ones.

What Other Conditions Can Cause Bleeding After Menopause

Some other conditions can cause abnormal uterine bleeding after menopause.

  • Endometrial hyperplasia, or the overgrowth of the cells lining the uterus
  • Infection of the uterine lining
  • Injury or trauma to the pelvic area
  • Certain medications, including hormone therapy and tamoxifen
  • Endometrial cancer, or uterine cancer
  • Cervical cancer

In most cases of postmenopausal bleeding, the cause is harmless. However, medical experts still recommend visiting your doctor to rule out more serious causes of abnormal bleeding, such as endometrial carcinoma.

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How Do You Know The Cause Of Postmenopausal Bleeding

  • Identifying the cause of the bleeding can include the following:
  • Exam by your provider of the vagina and cervix.
  • Pap smear to check the cervical cells.
  • Ultrasound, usually using a vaginal approach, which may include the use of saline to make it easier to see any uterine polyps.
  • Biopsy of the endometrium or uterus. In this procedure, your healthcare provider gently slides a small, straw-like tube into the uterus to collect cells to see if they are abnormal. This is done in the office and can cause come cramping.

How Postmenopause Affects The Body

Light Menstrual Flow: Is There A Cause For Concern?

We dont fully appreciate the natural hormone estrogen until its gone. This humble hormone is essential for maintaining health throughout a womans body not just the reproductive system. With a decrease in estrogen, your bodys major systems can be affected too.

Heres how estrogen relates to the rest of your body once youre postmenopause.

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When To See A Doctor

Girls should see a doctor within a few weeks if

  • They have no signs of puberty by age 13.

  • Periods have not started by age 15 in girls who are growing normally and have developed secondary sexual characteristics.

Such girls may have primary amenorrhea.

If girls or women of childbearing age have had menstrual periods that have stopped, they should see a doctor if they have

  • Missed 3 menstrual periods

  • Fewer than 9 periods a year

  • A sudden change in the pattern of periods

Such women may have secondary amenorrhea. Doctors always do a pregnancy test when they evaluate women for secondary amenorrhea. Women may wish to do a home pregnancy test before they see the doctor.

Postmenstrual Bleeding Treatment Options

Treatment options for postmenopausal bleeding will largely depend on whats causing your symptoms. Estrogen therapy can be used to treat conditions such as vaginal and endometrial atrophy. Progestin therapy, on the other hand, is used to treat endometrial hyperplasia.

Polyps can be removed during a hysteroscopy, or they might require surgery. Cancer and severe cases of endometrial hyperplasia can require a hysterectomy. If youre diagnosed with cancer, your doctor will discuss several options with you, including chemotherapy, radiotherapy, and hormonal treatments.

As with most other conditions, the most important step when it comes to postmenopausal bleeding is to get an early diagnosis. Once you know whats causing your symptoms, you and your doctor will be able to discuss treatment options and decide on the best course of action for your individual case.

Discovering that youre bleeding after menopause can be scary, but in most cases, the underlying condition can be treated with simple therapeutic options. Ensuring your wellbeing and overall health should always be your main concern.

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Will My Hot Flashes Stop After Menopause

Some people still experience hot flashes after menopause. Postmenopausal hot flashes are caused by decreased estrogen levels. It is not uncommon to experience a random hot flash for years after menopause. If your hot flashes are bothersome or intensify, speak with your healthcare provider to rule out other causes.

How Does Menopause Affect My Bladder Control

Can Periods Restart After Menopause?

Unfortunately, bladder control issues are common for women going through menopause. There are several reasons why this happens, including:

  • Estrogen. This hormone plays several roles in your body. It not only controls your period and promotes changes in your body during pregnancy, estrogen also keeps the lining of your bladder and urethra healthy.
  • Pelvic floor muscles. Supporting the organs in your pelvis your bladder and uterus are called the pelvic floor muscles. Throughout your life, these muscles can weaken. This can happen during pregnancy, childbirth and from weight gain. When the muscles weaken, you can experience urinary incontinence .

Specific bladder control problems that you might have can include:

  • Stress incontinence .

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How Long Does The Transition To Menopause Last

Perimenopause, the transition to menopause, can last between two and eight years before your periods stop permanently. For most women, this transition to menopause lasts about four years. You will know you have reached menopause only after it has been a full year since your last period. This means you have not had any bleeding, including spotting, for 12 months in a row.

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Menopause Symptoms Can Feel Like Pms

Some women develop symptoms of Premenstrual Syndrome for the first time or have more acute levels of their normal PMS. These symptoms can be physical, psychological, or emotional. Most of us will have had some level of PMS during the second half of the monthly cycle over the years. Symptoms may have been getting stronger during your 30s and 40s, approaching menopause. Most common symptoms are irritability, aggression, tearfulness, mood swings, breast pain and fluid retention.

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Bleeding After Menopause: Its Not Normal

What Does It Mean When You Have A Long Period? Does ...

    Too often I see women with advanced endometrial cancer who tell me they experienced postmenopausal bleeding for years but didnt think anything of it. This shows we need to do a better job educating our patients about what to expect after menopause.

    Women need to know postmenopausal bleeding is never normal, and it may be an early symptom of endometrial cancer. Any bleeding, even spotting, should trigger a visit to your doctor as soon as possible. Dont wait to make an appointment until after the holidays or even next week. Do it today.

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    What Age Is Considered Early For Menopause

    If you reach menopause before age 40, that is considered premature menopause, says Faubion. This occurs in about 1 to 2 percent of women, she says.

    Experiencing menopause at 40 to 45 years of age is called early menopause, and that occurs in about 5 to 7 percent of the population, so its safe to say that at least 7 percent of women are going to go through menopause early or prematurely, says Faubion. Menopause at age 46 or older is considered normal, she says.

    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.

    References

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    What Tests To Expect During Diagnosis

    As mentioned, you should visit your doctor if you experience postmenopausal bleeding. Mostly, you will be referred to a hospital for testing, which will help to ascertain the exact cause of the bleeding. Some tests to expect can include:

    • An ultrasound scan of the vaginal region
    • An examination of the pelvic region
    • Endometrial biopsy, which involves testing samples of your uterus lining
    • Hysteroscopy, a test involving the use of a camera

    What Causes Postmenopausal Bleeding

    What Does Spotting During Menopause Mean?

    Bleeding can occur in postmenopausal women for several reasons. For example, women who take hormone replacement therapy may have vaginal bleeding for a few months after starting the hormones. Its also possible for a woman who thought she was in menopause to begin ovulating. If this occurs, bleeding may also occur.

    There are a variety of other conditions that can cause postmenopausal bleeding.

    Some common causes include: polyps, endometrial hyperplasia, and endometrial atrophy.

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    Reasons Your Periods Can Come Back

    Have your periods finally stopped, only for them to come back again? I get many women contacting me worried about this problem, so this week on A.Vogel Talks Menopause I decided to take a look at 4 reasons why your periods might come back. Even if your periods havent stopped yet, it will be useful for you to know about this in case you experience it at some point during your menopause.

    Eileen Durward

    How Do You Know You’re In Postmenopause

    Your healthcare provider will be able to tell you if you’re in postmenopause based on your symptoms and how long it’s been since your last menstrual period. In some cases, your healthcare provider will take a blood sample and check your hormone levels to confirm you’ve gone through menopause. Remember, you’re not considered to be through menopause until it’s been over one year since youve had a period.

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    When Are You Actually In Menopause How Is Menopause Calculated Defined Or Diagnosed

    Menopause is defined as taking place 1 year after a womans last period. Once you have had a consecutive 12 months with no period you are officially declared to be in the menopause congratulations! So you can find yourself putting the clock back to zero a few times if your period returns after a few months break.

    Some women have a period even after a 1-year break with no period. So you see why menopause can drive some women crazy its so different and unpredictable!

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    Womans Day: Bleeding After Menopause

    Tips for Tracking Your Bleeding

    Womans Day recently interviewed Jessica Chan, MD, assistant professor of OB-GYN at Cedars-Sinai, about bleeding after menopause and why women should never ignore that symptom.

    As the Womans Day story details, transitioning out of menopause comes with uncomfortable yet common side effects like hot flashes, mood swings and weight gain. But, if your body is suddenly experiencing period-like bleeding after menopause, its time to call your doctors office and make an appointment.

    Menopause is considered official when a women does not have a menstrual period for one year. Typically, women enter menopause around 51 years of age, but it can range from as young as 40 to 58 years old. And before menopause begins, most women experience changes in their menstrual cycle.

    During this transitionary time, your bleeding pattern may start to change due to some wild fluctuations in your hormone levels, Chan told Womans Day. At first, you usually have a shortening of the cycle. Then you may have a change in bleeding pattern. It can be lighter. Then theres a lengthening of the cycle. You may skip some periods before you stop altogether.

    But If bleeding occurs after menopause, doctors need to rule out other conditions. Post-menopausal bleeding can be a symptom of endometerial cancer also called uterine cancer. About 10% of postmenopausal bleeding experience is due to cancer, the Womans Day article states.

    Read the complete story here.

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    Bleeding In A Woman Taking Mht

    Bleeding on cyclical MHT

    In the woman who is taking cyclical MHT, a withdrawal bleed is expected and the patient should be counselled to expect it. It should come toward the end of or after the progestogen containing phase of the cyclical regimen. Bleeding which is unpredictable, occurring not at the expected time, or excessively heavy should be investigated.

    Bleeding on continuous combined MHT

    Continuous combined MHT contains oestrogen and progestogen throughout the month and is designed to eliminate vaginal bleeding. Continuous exposure to progestogen downgrades oestrogen receptors in the endometrium whilst treating menopausal symptoms with oestrogen. In the postmenopausal woman taking CCMHT, the significance of breakthrough bleeding depends upon the recency of her LMP and on how long she has been taking CCMHT. A similar diagnostic and therapeutic approach applies to tibolone.

    Within 12 months of the last menstrual period

    Women who are within 12 months of the last natural menstrual period often do not achieve amenorrhoea with CCMHT, presumably because some residual endogenously oestrogen-stimulated endometrium is present. Unpredictable breakthrough bleeding is common in this situation and does not need investigation. To avoid this, it is recommended that cyclical MHT be used for the first 12 months at least following the LMP.

    After 12 months since the LMP and within six months of the institution of CCMHT

    After 12 months since the LMP and after six months of CCMHT

    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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    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.

    What You Can Do

    What is MENOPAUSE? What does MENOPAUSE mean? MENOPAUSE definition, signs & symptoms

    Consider keeping a journal to track your periods. Include information such as:

    • when they start
    • whether you have any in-between spotting

    You can also log this information in an app, like Eve.

    Worried about leaks and stains? Consider wearing panty liners. Disposable panty liners are available at most drugstores. They come in a variety of lengths and materials.

    You can even buy reusable liners that are made of fabric and can be washed over and over again.

    When your estrogen levels are high in comparison to your progesterone levels, your uterine lining builds. This results in heavier bleeding during your period as your lining sheds.

    A skipped period can also cause the lining to build up, leading to heavy bleeding.

    Bleeding is considered heavy if it:

    • soaks through one tampon or pad an hour for several hours
    • requires double protection such as a tampon and pad to control menstrual flow
    • causes you to interrupt your sleep to change your pad or tampon
    • lasts longer than 7 days

    When bleeding is heavy, it may last longer, disrupting your everyday life. You may find it uncomfortable to exercise or carry on with your normal tasks.

    Heavy bleeding can also cause fatigue and increase your risk for other health concerns, such as anemia.

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