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What Causes Vaginal Bleeding After Discontinuing Estrogen And Testosterone Pellets?

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Posted on Mon, 5 Oct 2015
Question: I went thru menopause about 8 years ago. I have been on estrogen and testasterone pellets as of 4 months ago. They are to last for 3 months. But I didn't go back to the Dr to get more and for the last month I have been experiencing vaginal bleeding. It's light, but clotty.
doctor
Answered by Dr. Aarti Abraham (11 minutes later)
Brief Answer:
Need more details please.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Since how long have you been off the hormonal pellets ?
Have you ever had any post menopausal bleeding earlier ?
WHen was your last Pap smear ?
Please let me know these details so that I can guide you further.
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (6 minutes later)
TO answer your questions, the pellets are to be implanted every three months. I received them 4 months ago in May. I have not had any prior bleeding since menopause. I had Pap 11 months ago.
doctor
Answered by Dr. Aarti Abraham (55 minutes later)
Brief Answer:
Most likely to be withdrawal bleeding.

Detailed Answer:
Okay, thank you for your update.
The bleeding in all probability is due to the withdrawal effect of those hormones.
If you wish, you may get them re implanted as they are due.
If you do not, the bleeding may abate in a few days.
If it does not, you need to see a Specialist OB - GYN, and have an internal evaluation, a Pap smear, and a pelvic ultrasound scan.
The second possibility is that this is atrophic vaginitis ( the local vaginal tissues become brittle and friable and delicate due to deficiency of local estrogen ).
But if the bleeding continues beyond a few days, you need to have an evaluation to rule out other causes.
You can reach me directly anytime, using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care, and wish you good health always !
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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Answered by
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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6004 Questions

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What Causes Vaginal Bleeding After Discontinuing Estrogen And Testosterone Pellets?

Brief Answer: Need more details please. Detailed Answer: Hello Thanks for writing to us with your health concern. Since how long have you been off the hormonal pellets ? Have you ever had any post menopausal bleeding earlier ? WHen was your last Pap smear ? Please let me know these details so that I can guide you further. Looking forward to hearing from you. Take care.