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What Would Cause Bleeding After Menopause

But Here Is Why You Really Need To See Your Doctor

Post-Menopausal Bleeding

Endometrial cancer, which affects 2% to 3% of American women, is the most common type of gynecological cancer. According to the American Cancer Society, it most often affects postmenopausal women 60 is the average age at diagnosis. There is currently no way to screen for endometrial cancer. Identifying it early has become a pressing issue, because the incidence of this cancer has risen gradually but steadily over the past 10 years, according to the National Cancer Institute.

Endometrial cancer is a fairly common disease, and its unfortunately becoming more common due to the growing rates of obesity, says Dr. Berkowitz. A womans risk of endometrial cancer can increase substantially if she is obese. Generally, risk rises among women who are 50 pounds or more above their ideal body weight, he says.

This is because of the role estrogen plays in endometrial cancer. The most common type of endometrial cancer, known as type 1 cancer, is fueled by estrogen. Estrogen is produced by body fat, so women with a larger amount of fatty tissue generally have higher levels of estrogen. They also typically have more free estrogen, an active form that produces stronger effects. This may lead to cancerous changes in the uterine lining.

It Might Be Worth Seeing A Specialist

Your gynecologist should be able to perform your initial evaluation. But, if he or she suspects that your bleeding might be related to cancer, its important to see a gynecologic oncologist, Mantia-Smaldone said.

Endometrial cancer is usually treated with surgery that includes a hysterectomy, which may be followed by radiation and/or chemotherapy. Because gynecologic oncologists deal with female reproductive cancers every day, they have more experience operating on cancers, staging them correctly, and determining the best course of therapy. And that can add up to a more successful treatment outcome.

Diagnosis & Tests Of Fibroids

If you experience any of the symptoms mentioned above, you should see your doctor immediately to get tested for fibroids. Most uterine fibroids are detected during routine pelvic exams. Your medical doctor will usually feel the mass while she examines you. Depending on what she detects, she may order more tests to examine the fibroid more closely.

Some common tests for uterine fibroids include:

  • X-ray
  • Ectopic pregnancy
  • Cancers of the uterus including endometrial and cervical cancers

Your doctor may perform a physical exam, including a pelvic exam, and other tests to determine the cause of your abnormal bleeding.

Fibroids can usually be detected during a pelvic examination, which allows your doctor to feel for any abnormalities in the shape and size of the uterus. If your uterus is enlarged or irregularly shaped and you have symptoms of uterine fibroids, your doctor may order an ultrasound and additional imaging tests to confirm the presence of fibroids.

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Causes Of Bleeding After Sex

Bleeding after sex is medically known as postcoital bleeding. It occurs in people of all ages. In younger people who havent reached menopause, the source of the bleeding is usually the cervix.

In those who have gone through menopause, the source of the bleeding is more varied. It can be from the:

  • cervix
  • labia
  • urethra

In terms of causes, cervical cancer is the greatest concern. This is especially true for postmenopausal people. However, postcoital bleeding is more likely to be caused by a common condition.

Ovulation Pain Or Midcycle Spotting

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Mittelschmerz is a German word that translates as “middle pain.” It refers to the normal discomfort sometimes felt by women during ovulation, which is at the midpoint of the menstrual cycle.

Each month, one of the two ovaries forms a follicle that holds an egg cell. The pain occurs when the follicle ruptures and releases the egg.

This is a dull, cramping sensation that may begin suddenly in only one side of the lower abdomen. In a few cases, there may be vaginal spotting. Mittelschmerz occurs about 14 days before the start of the next menstrual period.

Actual Mittelschmerz is not associated with nausea, vomiting, fever, or severe pelvic pain. These symptoms should be evaluated by a medical provider since they can indicate a more serious condition.

Diagnosis is made through patient history.

Treatment requires only over-the-counter, nonsteroidal anti-inflammatory drugs to relieve the pain. An oral contraceptive will stop the symptoms, since it also stops ovulation.

Rarity: Common

Top Symptoms: abdominal pain , last period approximately 2 weeks ago, vaginal bleeding, bloody vaginal discharge, pelvis pain

Symptoms that always occur with ovulation pain or midcycle spotting: last period approximately 2 weeks ago

Urgency: Self-treatment

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Prevention Of Bleeding After Menopause

In order to prevent bleeding after menopause, the best way is to reduce the risk factors that lead to it. The other preventive methods are:

  • Use of pads and regular change of pads during menstruation which reduce the chances of infection.
  • Safe and hygienic sexual intercourse and use of condoms to avoid sexually transmitted diseases that can cause bleeding after menopause
  • Constantly watching over vaginal dryness and maintaining accurate pH levels
  • Maintaining a healthy body to avoid obesity by exercise and healthy diet
  • Regular checkups with gynecologists to ensure a healthy uterus
  • Treatment for Postmenopausal bleeding should be done early to prevent cancer.

Abnormal Uterine Bleeding Causes

Causes. By Mayo Clinic Staff. Abnormal vaginal bleeding can relate to an issue with your reproductive system or to other medical problems or certain medications.A variety of things can cause abnormal uterine bleeding. Pregnancy is a common cause. Polyps or fibroids in the uterus can also cause bleeding. Rarely, a thyroid problem, infection of the cervix, or cancer of the uterus can cause abnormal uterine bleeding. In most women, abnormal uterine bleeding is caused by a hormone imbalance.There are a few possible causes behind abnormal uterine bleeding: Hormone changes. Problems with your hormones are the most common reason for abnormal uterine bleeding.

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Can Stress Cause Vaginal Bleeding

No, stress cannot cause vaginal bleeding. Stress can, however, cause an earlier or later menstrual cycle and cause bleeding in-line with a new cycle. If you have new mid-cycle bleeding and have not consulted a clinician, you should seek medical evaluation. It may be a sign of anything from a sexually transmitted infection , to fibroids, to a pregnancy, or it may have no definable cause.

Why Am I Still Spotting After My Period Ends

Menopause & You: Bleeding After Menopause

Continuous bleeding after a period can be caused by a many things. Most commonly, an abnormally long period may have no discernible cause. If it does not recur, it may require no further investigation. Continuous spotting may be a sign of a disorder in coagulation caused by either medication or a genetic disorder. It may also be a sign of infection of the vagina or cervix.

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Cervical And Uterine Cancer

Vaginal bleeding, including bleeding after sex, can be a symptom of cervical and uterine cancers. These cancers are most common in people over age 50 or those whove experienced menopause.

In addition to age, other risk factors include a family history of one of these cancers, excess weight , or cigarette smoking. Getting the human papilloma virus is another risk factor for cervical cancer.

If you experience postcoital bleeding and have gone through menopause, see your doctor to identify or rule out cervical and uterine cancers.

As with other types of cancer, treatment is most effective when the cancer is found and treated early.

Serious complications from postcoital bleeding arent common, unless the cause is cancer or an untreated condition. Following are some possible complications.

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.

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What Can Cause Vaginal Spotting 10 Years After Menopause

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I Have Spotting After Menopause On My Underwear What Do I Do


Dr. Jessie: Please call your doctor and make an appointment. As long as the bleeding is minimal, this is not an emergency, but I like to get patients in for this problem within the next week. While seeing your gynecologist is generally not as fun as, say, buying some new shoes , the work up for post-menopausal bleeding is pretty straight forward and can bring some peace of mind.

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What Can Cause Bleeding After Menopause & How Is It Treated

Menopause is defined as no menstrual periods for at least 12 months continuously. It is a natural decline in reproductive hormones when a woman reaches 50 years of age. This period marks the stop of menstruation and the woman is unable to reproduce further. Menopausal women usually do not experience vaginal bleeding after menopause under normal conditions.

Why Am I Experiencing Vaginal Bleeding After Menopause

Vaginal bleeding after menopause may be due to medications, hyperplasia of the uterus, or some types of uterine cancer. Certain medications containing estrogen or progesterone can cause either hyperplasia or an increase in the amount of tissue in the uterus, which may cause bleeding or an excess sloughing off of tissue both of which will be seen as vaginal bleeding.

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Possible Treatments For Bleeding In Menopause

Depending on the test results and other underlying causes in regards to this occurrence, the doctor will decide whats the best treatment for your particular case. In case the cause of your postmenopausal bleeding are polyps, the treatment will involve removing the polyps surgically. If it happens that you have endometrial cancer, the most common course of action is to completely remove the uterus and surrounding lymph nodes. Chemotherapy and radiation might be necessary as well, in case cancer has already spread in the body. Women suffering from endometrial hyperplasia should effectively deal with the condition by taking adequate medication for it, which will then prevent the thickening of the endometrial lining. However, its always recommended to do regular checkups for cancerous cells. In case the cause of bleeding is the tissue thinning, it would be necessary to take vaginal estrogen. Anywhere between four and eleven percent of ladies may experience bleeding after menopause. Even though irregular bleeding and spotting are somewhat normal just before hitting menopause, once a woman doesnt get her period for more than a year and then experience bleeding should be a reason for concern. The cause of the bleeding doesnt have to be anything too serious and theres no need to panic, but its still better to book an appointment with your doctor as soon as possible.

Things To Know About Postmenopausal Bleeding

Bleeding After Menopause

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.

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Why Am I Bleeding Between My Periods

Bleeding between periods can be caused by serious or benign causes. The most dangerous causes often involve pregnancy. A failed pregnancy, a pregnancy in which the egg implants in the fallopian tube, disconnection of the placenta from the uterus, or damage to the uterus can all cause bleeding. If you suspect any of these causes, you should seek medical evaluation as soon and as safely as possible. Otherwise, uterine fibroids, tumor, blood thinners, ruptured ovarian cysts and gynecological infections, and changes in contraceptive drugs can cause spotting.

Uterine Fibroids During Menopause

Uterine fibroids are most common in women in their 40s and 50s, right around the time they are passing through the menopause transition.

As such, the appearance of fibroids during perimenopause can be attributed to the drastic hormonal fluctuations taking place in womenâs bodies as their ovaries wind down reproductive function, although similar to premenopausal women, the exact cause is unknown.

Furthermore, women are more susceptible to risk factors during this time that can heighten their chances of developing fibroids, including weight gain and age. Fibroids become more common as women age, and women who are overweight are at a greater risk for developing these uterine growths as well.

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Vaginal And Vulvar Atrophy

Postmenopausal atrophic vaginitis, or vaginal and vulvar atrophy , is the thinning of the walls of the vagina caused by decreased estrogen levels during menopause. As a result, the lining of the vagina may be more likely to bleed.

Vaginal and vulvar atrophy is caused by cellular changes during menopause. Changes in estrogen levels also cause a decrease in blood flow to the vaginal area, which further contributes to vaginal dryness and discomfort. Spotting during and after intercourse is a common symptom of VVA.

At least half of those who enter menopause have signs and symptoms of VVA, but only 20% to 25% seek medical attention from their doctor.

How To Treat Postmenopausal Bleeding

Is it Possible to Have Periods during Postmenopause ...

It is important to remember that bleeding at 60+ years old, bleeding after menopause bright red in color, having a period after menopause, and irregular spotting or vaginal bleeding after menopause are not normal occurrences and should be evaluated by your doctor. Depending on the cause of your spotting or bleeding, your doctor can assist in finding the right treatment or therapy for you or refer you to a gynecological oncologist.

Treatments may include:

The key to treating postmenopausal bleeding is preventative care and reducing your risk factors for the conditions that may cause it. For example, by treating endometrial atrophy early, you can prevent it from progressing into cancer, or you can have your doctor screen for conditions early before postmenopausal bleeding may even begin. University Park OBGYN recommends maintaining a healthy diet, regular exercise routine, and yearly visits to the doctor to prevent various health conditions and complications.

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What Happens At Your Gp Appointment

The GP should refer you to hospital or a special postmenopausal bleeding clinic. You should not have to wait more than 2 weeks to see a specialist.

What happens at your hospital or clinic appointment

A specialist, who may be a nurse, will offer you tests to help find out what’s causing the bleeding and plan any necessary treatment.

The tests may include:

  • a small device being placed in your vagina to scan for any problems
  • an examination of your pelvis and vagina a speculum may be inserted into your vagina to hold it open, so the inside of the vagina and the cervix can be seen
  • a thin, telescope-like camera being passed up your vagina, through the cervix and into your womb to look for any problems and to take a tissue sample for testing under local or general anaesthetic
  • the specialist may press on your tummy and inside your vagina to check for lumps, tenderness or other abnormalities

Menopause: The Bleeding Does Not Stop

A clear sign of menopause: the bleeding becomes more irregular and eventually stops completely. But what if the bleeding continues during menopause? Or if there is a bleeding that just won’t stop? If so, it could be menorrhagia. This is bleeding that has lasted more than 7 days. This can be quite stressful for the affected woman, even if menorrhagia as such is not dangerous. Nevertheless, the reason for an excessively long period should always be clarified by the doctor. Because the blood loss is particularly high, iron deficiency can occur.

That the Bleeding during menopause Keep coming back for months, if not years, is pretty normal. After all, as the name suggests, menopause can drag on for years. The question “Menopause – how long will spotting and bleeding continue?” so cannot be answered so easily – every woman and every body is different.

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Generations Of Women Have Trusted Chapel Hill Obgyn

Often, several different diseases present similar symptoms. Thats why its so important to have a local gynecologist who understands your medical history and has been a partner in your care. Generations of women have entrusted their care to us for decades. If youre experiencing any bleeding after menopause, we encourage you to schedule an appointment with us today.

For more than 40 years, Chapel Hill OBGYN has served women in the Triangle area, sharing the joy of little miracles and supporting them during challenges. Our board-certified physicians and certified nurse midwives bring together the personal experience and convenience of a private practice with the state-of-the-art resources found at larger organizations. To schedule an appointment, please contact us for more information.

Harvard Medical School. Postmenopausal Bleeding: Dont Worry But Do Call Your Doctor. Online.

Mayo Clinic. Bleeding After Menopause: Is It Normal? Online.

Menopause Bleeding From Stress

Is postmenopausal bleeding normal?

It can be through a lot Stress bleeding occur during menopause? In fact, this happens again and again. Stress causes the cycle to fluctuate. Rest periods are important right now. Those affected should ensure a balanced, plant-based diet, exercise a lot and, if possible, practice relaxation techniques such as yoga.

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