What Causes Heavy Vaginal Bleeding During Menopause?

Posted on Wed, 7 Dec 2016

Question: I am a 48 year old female. Had FSH test 4 years ago and confirmed menopause. Haven't had a period since. Just the other day I began having heavy vaginal bleeding along with lower back pain. I have had small cycts on my ovaries years ago but were more like small sacs. I haven't had any for 4 years. I also was put on Metformin 4 years ago because my A1C was borderline and began to have vaginal bleeding. Because they had no explanation for this I endured an endometrial biopsy that was negative. I went off the metformin and nothing since.

Answered by Dr. Soumya (4 hours later)

Brief Answer:
Hormonal variations

Detailed Answer:
Hi,

I understand your concerns about bleeding.

such vaginal bleeding is common once in a while due to hormonal variations caused by surge and withdrawal of progesterone hormones.

If you have got local examination of cervix, pap smear done along with Endometrial biopsy, there is nothing to worry about it.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Soumya (3 days later)

My gynecologist explaned at my appt that vaginal bleeding after menopause is not normal and a reason needs to be explored. I am scheduled for an ultrasound and another endometrial biopsy. Last one was 3 years ago .

Answered by Dr. Soumya (1 hour later)

Brief Answer:
Ultrasound scan will help

Detailed Answer:
Hi,

Vaginal bleeding after menopause is common while on HRT. hence I don't see any reason to panic.

Anyway Ultrasound scan would definitely help.

Let me know if you need anymore help.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Soumya (13 hours later)

Not sure where you got the idea that I take any hormone replacement, I don't.

Answered by Dr. Soumya (2 hours later)

Brief Answer:
Hysteroscopic guided Endometrial biopsy required

Detailed Answer:
Hi,

Thanks for clarification about not taking HRT.

In such circumstances this needs to be evaluated further. I suggest you get an ultrasound scan done to identify if any abnormalities exist.

Further it is advisable to undergo Hysteroscopy guided Endometrial biopsy which is better method see visually if there is any abnormal area in the Endometrium than undergoing blind Endometrial biopsy again.

Regards

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