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What Causes Post-menopausal Heavy Bleeding?
Question: my mom is 58 years old ,her periods stopped 1 yr 10mths ago,now she started bleeding for 5 days with heavy flow with no discomfort or any symptoms,she is in usa on visiting visa,what do you recommend?
Brief Answer:
At least have one pelvic ultrasound.
Detailed Answer:
Hi XXXXXX,
Thanks for sharing your mom's problem with us.
So, your mom is having Post-menopausal bleeding & she had quite a late Menopause!
Post-menopausal bleeding is a serious cause of concern for Gynecologist as in approximately 10% of cases it may indicate a genital tract malignancy.
She need to be seen by a Gynecologist! She should have a local examination of her cervix & vagina & a Pap smear test if not done in the recent past.
She should also have a pelvic ultrasound scan (TVS) to see the endometrial thickness. These two are likely to provide us with valuable information regarding her condition.
She may also need an endometrial biopsy depending upon her Ultrasound report.
If she is taking some form of HRT, this may have caused this bleeding. Anyway, there is no substitute to a formal Gynecologist review. At least, a pelvic ultrasound is mandatory.
Taking any medicine without a formal diagnosis may prove harmful in her age group.
Hope she gets well soon.
Take care.
At least have one pelvic ultrasound.
Detailed Answer:
Hi XXXXXX,
Thanks for sharing your mom's problem with us.
So, your mom is having Post-menopausal bleeding & she had quite a late Menopause!
Post-menopausal bleeding is a serious cause of concern for Gynecologist as in approximately 10% of cases it may indicate a genital tract malignancy.
She need to be seen by a Gynecologist! She should have a local examination of her cervix & vagina & a Pap smear test if not done in the recent past.
She should also have a pelvic ultrasound scan (TVS) to see the endometrial thickness. These two are likely to provide us with valuable information regarding her condition.
She may also need an endometrial biopsy depending upon her Ultrasound report.
If she is taking some form of HRT, this may have caused this bleeding. Anyway, there is no substitute to a formal Gynecologist review. At least, a pelvic ultrasound is mandatory.
Taking any medicine without a formal diagnosis may prove harmful in her age group.
Hope she gets well soon.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Re-check her Thyroid function.
Detailed Answer:
Hi XXXXXX,
Welcome back.
Thyroid functions if poorly controlled can cause menorrhagia ( heavy periods), but this not the case with a post-menopausal lady. Any bleeding after the menopause need active & full evaluation.
However, it would be wise if she re-checks her Thyroid profile to make sure all is OK.
Wish you best of luck.
Take care.
Re-check her Thyroid function.
Detailed Answer:
Hi XXXXXX,
Welcome back.
Thyroid functions if poorly controlled can cause menorrhagia ( heavy periods), but this not the case with a post-menopausal lady. Any bleeding after the menopause need active & full evaluation.
However, it would be wise if she re-checks her Thyroid profile to make sure all is OK.
Wish you best of luck.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
she is started bleeding since 19th may,she is little better than yesterday, we managed to get an appointment on XXXXXXX 5,do u think this requires urgent visit.
Brief Answer:
She can wait if bleeding is not heavy.
Detailed Answer:
Hi XXXXXX,
Thanks for your question & very sorry for a late reply.
This is really good that she is better than before.
If the bleeding is mild then perhaps she can wait as nothing is going to change during that time, but if she is bleeding heavily then this can lead to anemia. In that case she may report to an emergency department as in her age group anemia can lead to many dangerous complications.
Hope she gets well soon.
Best regards.
She can wait if bleeding is not heavy.
Detailed Answer:
Hi XXXXXX,
Thanks for your question & very sorry for a late reply.
This is really good that she is better than before.
If the bleeding is mild then perhaps she can wait as nothing is going to change during that time, but if she is bleeding heavily then this can lead to anemia. In that case she may report to an emergency department as in her age group anemia can lead to many dangerous complications.
Hope she gets well soon.
Best regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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