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What Causes Heavy Continuous Vaginal Bleeding After Menopause?

Posted on Mon, 24 Aug 2015

Question: My mom is 55 years old.Before six months bleeding got stopped so we thought it to be menopause bt now bfre1 month she got continuous bleeding and we took her to hospital.They gave tablets and it got stopped.They also gave tablets for another 1 month and told to take some test.In that it was found that the endometrium thickness is 6 mm and they told to take biopsy.i am getting so scared.Is that necessary to take biopsy now?Is there some other choice?please suggest

Answered by Dr. Ajish TP (2 hours later)

Brief Answer:
Go ahead with biopsy

Detailed Answer:
Hi,

Welcome to HCM. I have gone through the question and understand your concerns.

No need to worry about endometrial biopsy. It is a simple procedure not associated with much pain.

Ideally all post menopausal women with vaginal bleed should be screened for endometrial cancer especially if endometrial thickness is more than 4 mm.

But don't worry the chance of endometrial cancer with your mothers ultrasound finding is around 5-7 % only.

So go ahead with the procedure and that will clear your concerns.

Hope I have answered your questions. If you have any further queries I will be happy to help you

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (2 days later)

Is that treatable?what are all the solutions?

will it be only the primary stage?

Answered by Dr. Ajish TP (6 hours later)

Brief Answer:
Depends on the biopsy reports

Detailed Answer:
Hi,

Don't worry. Endometrial cancer is a rare cause of bleeding after menopause. So let the biopsy report come.

Endometrial cancer is treatable in stages when it is confined to uterus. It her case it should be early stages.

Regards
Dr Ajish TP

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (16 hours later)

Sir,the report is normal sir.Thanks for your suggestions

Answered by Dr. Ajish TP (3 minutes later)

Brief Answer:
Wishing her good health

Detailed Answer:
Hi,
Nice to hear that. Wishing her good health.

Regard
Dr Ajish

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajish TP (23 hours later)

Sir
In report,its been told endometrium with proliferative features.Doctor told nothing to worry and gave tablets for 6 months.Actually what is that mean?what are its effects?can't understand

Answered by Dr. Ajish TP (26 hours later)

Brief Answer:
It is expected biopsy reports

Detailed Answer:
Hi,

Welcome back.

Proliferative endometrium is the normal proliferation or thickening of endometrium with hormonal influence.

After menopause the sex hormones will be present in a body for few more months at reduced amounts. This sex hormones will cause proliferation of endometrium and this will shed off as bleeding.

So no need to worry.

Regards
Dr Ajish Tp

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj